Christine Fernandez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025774-1 Issued in NY

Practice address

3420 94TH St
Jackson Heights, NY 11372-3824

Phone

(718) 424-9031

Fax

(718) 424-9093

NPI assigned

Nov 29, 2016

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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1891238523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 94TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723824",
            "telephone_number": "718-424-9031",
            "fax_number": "718-424-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 94TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723824",
            "telephone_number": "718-424-9031",
            "fax_number": "718-424-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CHRISTINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025774-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Ivanna Felix-Peralta, M.D.
• William Fellows
• Jie Feng, MD, MPH
• Jessica Altagracia Fermin
• Susan Fermin
• Jarenys Meredith Fernandez, PHYSICIAN ASSISTANT
• Eddy A Ferreira, DDS
• Ingrid Ferreira, OTR/L
• Ivette A Ferreira, DDS
• Stephen Anthony Festa, D.D.S.

• Speech-Language Pathologist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.