Individual provider Active NPI

Lisa Maria Fernandez, OGNP ANP

  • Maternal Newborn Registered Nurse
  • Saint James, NY
National Provider Identifier
1528337144
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
F360270-1 Issued in NY
Practice address
10 Rodney St
Saint James, NY 11780-1756
Phone
(631) 686-5131
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 396062-1 NY
General Practice Registered Nurse 163WG0000X F301559-1 NY
Maternal Newborn Registered Nurse 163WM0102X F360270-1 NY Primary

Addresses

Primary practice location

10 Rodney St
Saint James, NY 11780-1756

Mailing address

10 Rodney St
Saint James, NY 11780-1756
Phone (631) 686-5131

Other names 1

  • Lisa Maria Quinones Former name

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
396062-1NYMDGeneral Practice Registered Nurse
F301559-1NYMDGeneral Practice Registered Nurse
F360270-1NYMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1528337144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RODNEY ST",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801756",
            "telephone_number": "631-686-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RODNEY ST",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801756",
            "telephone_number": "631-686-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Prof.",
        "credential": "OGNP ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "396062-1",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "F301559-1",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "F360270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "QUINONES",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.