Jasmine Azucena Fernandez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0313-P Issued in AZ

Practice address

350 E la Canada Blvd
Avondale, AZ 85323-1643

Phone

(623) 932-2282

NPI assigned

Sep 23, 2015

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

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1649649385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 W MCDOWELL RD APT 3123",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JASMINE",
        "middle_name": "AZUCENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "0313-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Ride LLC
• Jesse Headapohl Fatoma
• Fenix Group, LLC
• Alyssa Fernandez, DTP
• Christopher R Fernandez
• Michelle Fernandez
• Nicole Fernandez
• Megan Nicole Ferral, LMSW
• Justine Gonzales Files, OTD, OTR/L
• Daniel Fimbres, RN

• Occupational Therapy Assistant in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.