Kaitlyn Fernandez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12012 Issued in KS

Practice address

1111 E Spruce St
Garden City, KS 67846-5958

Phone

(620) 276-7689

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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.

• Compass Behavioral Health

  • Community/Behavioral Health Agency
  • Garden City, KS
  • NPI 1891488474
  NPD
• Compass Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden City, KS
  • NPI 1922058510
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2021.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1992395040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678461905",
            "telephone_number": "620-275-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465958",
            "telephone_number": "620-276-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Fairbank, DPT
• Sarah Falke, NP
• Family Ministries, Inc.
• Judy C. Faurot, SLP
• Monserrat Feria-Vargas
• John T Ferrell, M.D.,F.A.C.C.
• Kaci Elizabeth Finch, DPT
• Sandy Fine
• Finney County
• Finney County Employee Clinic

• All providers in Garden City, KS
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.