Edith Fernandez, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

5737 W Vernon Ave
Phoenix, AZ 85035-2925

Phone

(602) 448-6873

NPI assigned

Jan 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Young Mind Center, Inc.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1346707486
  NPD (past)
• Young Mind Center, Inc.

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1942509799
  NPD (past)

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1760196042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850352925",
            "telephone_number": "602-448-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850352925",
            "telephone_number": "602-448-6873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 E Mountain View Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283901",
            "country_code": "US",
            "telephone_number": "602-237-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "EDITH",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Cristina Fernandez, PH.D.
• Alejandro Santos Fernandez
• Briana Fernandez, RBT
• Dorothy Emily Fernandez, RN, BSN
• Ebony Fernandez, RBT
• Elio A Fernandez, MD
• Jadeliene Fernandez
• Jennifer Fernandez, MD
• Jessmin Fernandez
• Jose G Fernandez, DDS

• Recreation Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Recreation Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.