Individual provider Active NPI

Sarah Isabel Fernandez, MD

  • Plastic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1861695843
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME129704 Issued in FL
Practice address
807 Childrens Way
Jacksonville, FL 32207
Phone
(904) 697-3600
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT189161 PA
Plastic Surgery Physician 208200000X ME129704 FL Primary

Addresses

Primary practice location

807 Childrens Way
Jacksonville, FL 32207

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-3600

Other practice location 1

4037 NW 86th Ter Fl 3
Gainesville, FL 32606-9281
Phone (352) 265-8402

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-8402

Other identifiers 1

IdentifierTypeStateIssuer
018764800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001909 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8729212691 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189161PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Surgery CurrentSince Sep 7, 2016 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Jun 10, 2018 Accepting new patients
The Nemours Foundation CurrentSince Jun 10, 2018 Accepting new patients
Florida Clinical Practice Association Inc Surgery CurrentSince Aug 10, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 10, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 7, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4037 NW 86th Ter
Fl 3
Gainesville, FL 32606
Phone (352) 265-7777

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

400 Colonnade Dr
Ste 203
Ponte Vedra Beach, FL 32081

Interoperability endpoints

  • Direct secure messaging: sfernandez71586@direct.nemours.org
  • Direct secure messaging: sfernandez224381@direct.shands.ufl.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1861695843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CHILDRENS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-697-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 NW 86th Ter Fl 3",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069281",
            "country_code": "US",
            "telephone_number": "352-265-8402",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-8402",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SARAH",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT189161",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME129704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018764800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.