Individual provider Active NPI

Ibette Fernandez

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497274526
Registry record updated Sep 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9340000 Issued in FL
Practice address
20633 SW 132ND Ave
Miami, FL 33177-6142
Phone
(786) 493-7907
NPI assigned
Sep 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9340000 FL Primary

Addresses

Primary practice location

20633 SW 132ND Ave
Miami, FL 33177-6142

Mailing address

20633 SW 132ND Ave
Miami, FL 33177-6142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411000449 FL Practitioner - Nurse Practitioner 6800156308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine and Kidney Associates, PAGroup PAC ID 8921152489, 2 clinicians

Practice addresses (Care Compare)

3706 N Roosevelt Blvd
Suite F
Key West, FL 33040-4566
Phone (305) 293-5015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9340000FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Kidney Associates PA CurrentSince May 27, 2021 Accepting new patients

Locations

3706 N Roosevelt Blvd
Ste F
Key West, FL 33040
Phone (305) 293-5015

1010 Kennedy Dr
Ste 401
Key West, FL 33040
Phone (305) 293-5015

1111 12th St
Ste 203
Key West, FL 33040
Phone (305) 294-1706

1111 12th St
Ste 108
Key West, FL 33040
Phone (305) 294-5576

Interoperability endpoints

  • Direct secure messaging: ifernandez32016@direct.acumenmd.com

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": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504915200000",
    "number": "1497274526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20633 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20633 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776142",
            "telephone_number": "786-493-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "IBETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-09",
        "last_updated": "2017-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.