Active NPI
Camila Anderson-Fernandez, RN
- Case Management Registered Nurse
- Waukesha, WI
National Provider Identifier
1538781885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 230542-30
- Practice address
- 110 Corrina Blvd Apt 468
Waukesha, WI 53186-3709 - Phone
- (262) 893-1703
- NPI assigned
- May 9, 2020
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 230542-30 | WI | Primary |
Addresses
Primary practice location
110 Corrina Blvd Apt 468
Waukesha, WI 53186-3709
Mailing address
110 Corrina Blvd Apt 468
Waukesha, WI 53186-3709
Phone (262) 893-1703
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | 2628931703 | ||
| FHIR URL | 2628931703 |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230542-30 | WI | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1538781885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CORRINA BLVD APT 468",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531863709",
"telephone_number": "262-893-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CORRINA BLVD APT 468",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531863709",
"telephone_number": "262-893-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON-FERNANDEZ",
"first_name": "CAMILA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-09",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WI",
"license": "230542-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "2628931703",
"affiliation": "N",
"address_1": "110 Corrina Blvd Apt 468",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531863709",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "2628931703",
"affiliation": "N",
"endpointDescription": "Business email",
"address_1": "110 Corrina Blvd Apt 468",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531863709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.