Shamika Lashonda Fernandez

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

702 Crescent Cir
Douglas, GA 31533-1635

Phone

(904) 652-5916

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shamika Lashonda Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1548963473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CRESCENT CIR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331635",
            "telephone_number": "904-652-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CRESCENT CIR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331635",
            "telephone_number": "904-652-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SHAMIKA",
        "middle_name": "LASHONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMIKA",
            "last_name": "JONES",
            "middle_name": "LASHONDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Tucker Farabow, RPH
• Dana Evan Fender, DMD
• Justin Marcus Fender, R-NP
• Kelsea Renea Fender, FNP
• Sarah Allyson Fender
• Joel W Ferree, MD
• Fitzgerald Family Eyecare, P.C.
• Ellen Drury Fitzgerald, O.D.
• Michael S. Flory, APRN
• Tequoria Flowers

• Contractor in Douglas, GA
• Providers in Douglas, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.