NPIMap

Individual provider Active NPI

Andre Neville Fernandez, MD

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1841369451
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32567 Issued in KY
Practice address
501 Darby Creek Rd Ste 21
Lexington, KY 40509-1668
Phone
(859) 263-9305
NPI assigned
Nov 7, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 32567 KY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 32567 KY

Addresses

Primary practice location

501 Darby Creek Rd Ste 21
Lexington, KY 40509-1668

Mailing address

501 Darby Creek Rd
Suite 21
Lexington, KY 40509-1604
Phone (859) 263-9305

Other identifiers 2

IdentifierTypeStateIssuer
64325673MedicaidKY
000000041840OtherKYANTHEM BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000845 KY Practitioner - Psychiatry 5890683726 Practice locations: Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Darby Creek Rd
Lexington, KY 40509-1668
Phone (859) 263-9305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32567KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Andre N. Fernandez Psychiatry Past Accepting new patients
Lexington Primary Care LLC PastSince Jan 5, 2004 Accepting new patients
Associated Physician Services of Lexington, LLC Psychiatry Past Accepting new patients
Alc Resources LLC Child & Adolescent Psychiatry Past Accepting new patients
Madison Primary Care, LLC Psychiatry Past Accepting new patients
Horizon Healthcare Center LLC Child & Adolescent Psychiatry PastSince Mar 17, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrefernandez@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1841369451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "SUITE 21",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-263-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD STE 21",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091668",
            "telephone_number": "859-263-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ANDRE",
        "middle_name": "NEVILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "32567",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "32567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64325673",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000041840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.