Individual provider Active NPI

Mariam Fernandez

  • Music Therapist
  • Fort Myers, FL
National Provider Identifier
1689536724
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
2209 Santiago Ave
Fort Myers, FL 33905-4817
Phone
(786) 397-7374
NPI assigned
Nov 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X Primary

Addresses

Primary practice location

2209 Santiago Ave
Fort Myers, FL 33905-4817

Mailing address

2209 Santiago Ave
Fort Myers, FL 33905-4817
Phone (786) 397-7374

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

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1689536724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 SANTIAGO AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339054817",
            "telephone_number": "786-397-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 SANTIAGO AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339054817",
            "telephone_number": "786-397-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.