Active NPI
Antionette Yvonne Fernandez, LPN16653
- Licensed Practical Nurse
- Anchorage, AK
National Provider Identifier
1477852390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN16653
- Practice address
- 670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561 - Phone
- (907) 770-0862
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN16653 | HI | Primary |
Addresses
Primary practice location
670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561
Mailing address
PO Box 2053
Big River, CA 92242-2053
Phone (808) 294-1069
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN16653 | HI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1477852390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2053",
"city": "BIG RIVER",
"state": "CA",
"postal_code": "922422053",
"telephone_number": "808-294-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 W FIREWEED LN STE 160",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032561",
"telephone_number": "907-770-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ANTIONETTE",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "LPN16653",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2024-05-01",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "HI",
"license": "LPN16653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.