Krystal Fernandez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-4664 Issued in HI

Practice address

1581 Noe St
Honolulu, HI 96819-3850

Phone

(808) 224-0090

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1497329619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37794",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968370794",
            "telephone_number": "808-224-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 NOE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193850",
            "telephone_number": "808-224-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "LCSW-4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Honolulu",
            "address_1": "1581 Noe St",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968193850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrianna Christina Fernandez, PA-C
• Jacey Keiana Fernandez
• Jackwayne Fernandez, PHARM.D.
• Kreul Maureen Fernandez
• Kristin Kawailoa Fernandez, M.D.
• Linda Sue Fernandez, PT
• Marvik Vasquez Fernandez, APRN-RX
• Mayumi Fernandez, MD
• Mele Fernandez, RD
• Melissa Ann Ugale Fernandez

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.