Tammy Fernandes

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

79563 Issued in CA

Practice address

341 N Kaweah Ave
Exeter, CA 93221-1221

Phone

(760) 920-5761

Fax

(866) 468-0578

NPI assigned

Oct 7, 2019

Last updated

May 14, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1942841291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17828 AVENUE 184",
            "city": "STRATHMORE",
            "state": "CA",
            "postal_code": "932679520",
            "telephone_number": "760-920-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N KAWEAH AVE",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211221",
            "telephone_number": "760-920-5761",
            "fax_number": "866-468-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "79563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "79563",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tammy@healthandwellness-plus.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "17828 Avenue 184",
            "city": "Strathmore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932679520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Exeter Unified School District
• Exeter Union Elementary SD
• Exeter Union High School District
• Family Healthcare Network
• Marie Isabel Fazzone, LMFT
• Rudy Figueroa, AS ADMIN JUSTICE
• Jason Donald Ford, MFT TRAINEE
• Kaitlin Fournier, PT
• Isabella Franco
• Brenda Fung, B.A.

• Massage Therapist in Exeter, CA
• Providers in Exeter, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.