Individual provider Active NPI

Jordana Isabel Reina Fernandez, M.D.

  • Obstetrics & Gynecology Physician
  • Celebration, FL
National Provider Identifier
1699062463
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME132411 Issued in FL
Practice address
410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone
(877) 800-0239
Fax
(407) 566-2499
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD455311 PA
Obstetrics & Gynecology Physician 207V00000X ME132411 FL Primary

Addresses

Primary practice location

410 Celebration Place
Ste 208
Celebration, FL 34747-5434

Mailing address

410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone (877) 800-0239

Other practice location 1

1997 Daniels Road
Winter Garden, FL 34787-4599
Phone (877) 800-0239

Other practice location 2

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219003392 FL Practitioner - Obstetrics/Gynecology 9133432016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

410 Celebration PL
Suite 208
Celebration, FL 34747-5434
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME132411FLMDObstetrics & Gynecology Physician
MD455311PAMDObstetrics & Gynecology Physician

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jordana.reina.fernandez.2@2183.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1699062463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PLACE",
            "address_2": "STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PLACE",
            "address_2": "STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Daniels Road",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874599",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 North Boulevard West",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINA FERNANDEZ",
        "first_name": "JORDANA",
        "middle_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD455311",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME132411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.