Individual provider Active NPI

Adriana Cristina Guadalupe Diquez Fernandez, LMFT

  • Marriage & Family Therapist
  • Weston, FL
National Provider Identifier
1467169151
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4351 Issued in FL
Practice address
210 Cameron CT
Weston, FL 33326-3522
Phone
(954) 348-2776
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4351 FL Primary

Addresses

Primary practice location

210 Cameron CT
Weston, FL 33326-3522

Mailing address

210 Cameron CT
Weston, FL 33326-3522
Phone (954) 348-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4351FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Center LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1467169151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CAMERON CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263522",
            "telephone_number": "954-348-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CAMERON CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263522",
            "telephone_number": "954-348-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIQUEZ FERNANDEZ",
        "first_name": "ADRIANA",
        "middle_name": "CRISTINA GUADALUPE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.