JOANNA R FERNANDEZ (NPI# 1053675033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675033 |
| Entity Type | Individual |
| Full Name | JOANNA R FERNANDEZ |
| Credential | APRN |
| Practice Address |
500 Palisade Ave Bridgeport CT 06610-3458 |
| Mailing Address |
982 E Main St Bridgeport CT 06608-1913 |
| Practice Telephone | 2035796234 |
| Practice Fax Number | 2033320376 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004898 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 004898 | 01 |
| CT | 004234788 | 05 | |
| CT | DEA | MF2603303 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013488568 | Joanna Fernandez | Speech-Language Pathologist | 8200 W Greendale Ave, Niles, IL 60714-2713 | 2018-12-10 |
| 1033481882 | Joanna Fernandez | Behavioral Analyst | 2550 N Hollywood Way, #304, Burbank, CA 91505-1055 | 2012-02-08 |
| Street Address |
500 PALISADE AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194150607 | Rose Marie Leger | Nurse Practitioner | 500 Palisade Ave, Bridgeport, CT 06610-3458 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861915019 | Stephanie Jean Fluharty | Nurse Practitioner | 1511 Johnson Ave Ste 104, Bridgeport, WV 26330-1016 | 2017-07-19 |
| 1730601006 | Katherine Smith Carter | Nurse Practitioner | 68 Woodland Ave, Bridgeport, CT 06605-3457 | 2017-07-08 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| 1588119408 | Lisa M Finoia | Nurse Practitioner | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | 2016-08-20 |
| 1437568003 | Donte Jamal Newsom | Nurse Practitioner | 1370 Johnson Ave Ste 202, Bridgeport, WV 26330-1378 | 2014-08-08 |
| 1558678623 | Dermatology Outreach, LLC | Nurse Practitioner | 111 State St., Bridgeport, WV 26330 | 2010-09-09 |
| 1659546109 | Christine Margaret Berte | Nurse Practitioner | 790 Fairfield Ave, Bridgeport, CT 06604-3701 | 2008-04-25 |
| 1043383508 | Susan Flanigan Bates | Nurse Practitioner | Mcmwtc Bldg 3005, Hc 83 Box 1, Bridgeport, CA 93517 | 2006-11-15 |
| 1629048418 | Renee Biehl | Nurse Practitioner | 761 Lindley St, Bridgeport, CT 06606-5043 | 2006-01-24 |
| 1073500773 | Erin Colleen Hawkins | Nurse Practitioner | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9012 | 2005-09-29 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on JOANNA R FERNANDEZ.
| 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.