Individual provider Active NPI

Jennifer Fernandez Blot, MSN FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1699555755
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031366 Issued in PA
Practice address
1118 Edward Dr
Pittsburgh, PA 15227-3920
Phone
(843) 568-2263
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP031366 PA Primary
Family Nurse Practitioner 363LF0000X 26560 SC

Addresses

Primary practice location

1118 Edward Dr
Pittsburgh, PA 15227-3920

Mailing address

1118 Edward Dr
Pittsburgh, PA 15227-3920
Phone (843) 568-2263

Other names 1

  • Jennifer Ellen Fernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP031366PAMDFamily Nurse Practitioner
26560SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1699555755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 EDWARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273920",
            "telephone_number": "843-568-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 EDWARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273920",
            "telephone_number": "843-568-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOT",
        "first_name": "JENNIFER",
        "middle_name": "FERNANDEZ",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031366",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FERNANDEZ",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.