Active NPI
Victoria Fernandez
- Early Intervention Provider Agency
- Ocala, FL
National Provider Identifier
1780110163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 7 Brook LN
Ocala, FL 34472-2703 - Phone
- (610) 393-8692
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Developmental Therapist | 222Q00000X | FL | ||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
7 Brook LN
Ocala, FL 34472-2703
Mailing address
7 Brook LN
Ocala, FL 34472-1929
Phone (610) 393-8692
Other practice location 1
7 Brook Ln
Ocala, FL 34472-1929
Phone (610) 393-8692
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Consulting Services, LLC | Current | Accepting new patients | |
| Pan American Mental Health Services Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Jenkintown, PA
- NPI 1629557350
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1093867772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1780110163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BROOK LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344721929",
"telephone_number": "610-393-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BROOK LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344722703",
"telephone_number": "610-393-8692"
}
],
"practiceLocations": [
{
"address_1": "7 Brook Ln",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344721929",
"country_code": "US",
"telephone_number": "610-393-8692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "VICTORIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.