MS. KELLY MARIE FERNANDEZ (NPI# 1003953597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003953597 |
| Entity Type | Individual |
| Full Name | MS. KELLY MARIE FERNANDEZ |
| Credential | ATCL, LMT |
| Practice Address |
654 Nw 129th Ct Miami FL 33182-1171 |
| Practice Telephone | 3055595606 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1540 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225700000X | Massage Therapist | MA40638 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346448396 | Kelly Kathleen Fernandez | Physical Therapy Assistant | 420 N University St, Murfreesboro, TN 37130-3931 | 2007-07-10 |
| Street Address |
654 NW 129TH CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33182-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057501 | Crossover Health Medical Group | Specialist | 1 Telemundo Way, Miami, FL 33182 | 2020-03-05 |
| 1700434891 | Maria Elena Nasiff | Nurse Practitioner | 774 Nw 136th Ave, Miami, FL 33182 | 2019-08-31 |
| 1952871436 | Yunier Armenteros | Nurse Practitioner | 920 Nw 133 Ave, Maimi, FL 33182 | 2018-11-28 |
| 1235604869 | Danaisi Gonzalez | Nurse Practitioner | 715 Nw 129 Pl, Miami, FL 33182 | 2018-10-10 |
| 1336620665 | Ernesto Enrique | Nurse Practitioner | 877 Nw 132nd Ave W, Miami, FL 33182 | 2018-08-24 |
| 1265959266 | Norberto Rodriguez Sr. | Nurse Practitioner | 887 Nw 132nd Ave West, Miami, FL 33182 | 2017-08-29 |
| 1376066076 | Sindel Quintana | Behavior Technician | 1116 Nw 130 Ave, Miami, FL 33182 | 2017-07-25 |
| 1538403837 | Janet Enriquez | Social Worker | 12240 Nw 7th Trl, Miami, FL 33182 | 2012-11-27 |
| 1710188891 | Robert A. J. Fernandez | Family Medicine | Crossover Health At Telemundo, 2350 Nw 117th Place, Miami, FL 33182 | 2007-05-29 |
| 1649488651 | Majuly's Adult Care Inc | Assisted Living Facility | 12730 Nw 6th Lane, Miami, FL 33182 | 2007-05-21 |
| Find all providers in zip 33182 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292813 | Wilder Xavier Quezada | Specialist/Technologist | 1412 Nw 31st Ave, Miami, FL 33125-1939 | 2020-07-15 |
| 1740808997 | Felipe Montila | Specialist/Technologist | 8187 Nw 8th St Apt 203, Miami, FL 33126-2895 | 2020-07-13 |
| 1457979981 | Amelie Anne Sophie Saint Dizier | Specialist/Technologist | 10851 Nw 7th St, Miami, FL 33172-3753 | 2020-07-10 |
| 1447878137 | Gabriel Jose Guzman | Specialist/Technologist | 9037 Sw 23rd Ln, Miami, FL 33165-2062 | 2020-07-08 |
| 1154941599 | Maxime Ramioulle | Specialist/Technologist | 14353 Sw 101st Ln, Miami, FL 33186-6948 | 2020-04-24 |
| 1083251813 | Daniella Cristina Eiroa | Specialist/Technologist | 12477 Sw 123rd St, Miami, FL 33186-9001 | 2019-11-27 |
| 1508412107 | Alex Witter | Specialist/Technologist | 2421 Nw 11th St Apt 18, Miami, FL 33125-3163 | 2019-08-11 |
| 1720640881 | Farley Andres Beltran | Specialist/Technologist | 12906 Sw 150th Ter, Miami, FL 33186-7600 | 2019-06-28 |
| 1245891449 | Debbie-ann Garricks | Specialist/Technologist | 11001 Sw 88th St Apt 204, Miami, FL 33176-1247 | 2019-06-27 |
| 1841851813 | Andre Rolando Figueroa | Specialist/Technologist | 10063 Sw 164th Pl, Miami, FL 33196-4888 | 2019-06-21 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.