Yelena Oliva Fernandez, SURGICAL ASSISTANT

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

23-496 Issued in FL

Practice address

4169 Madison St
Ave Maria, FL 34142-5019

Phone

(239) 692-1434

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1821770611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 MADISON ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425019",
            "telephone_number": "239-692-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 MADISON ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425019",
            "telephone_number": "239-692-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA FERNANDEZ",
        "first_name": "YELENA",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "23-496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carmine Vincent Palermo

• Surgical Assistant in Ave Maria, FL
• Providers in Ave Maria, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.