DR. DIANNE MICHELLE FERNANDEZ (NPI# 1104975739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104975739 |
| Entity Type | Individual |
| Full Name | DR. DIANNE MICHELLE FERNANDEZ |
| Credential | D.C. |
| Practice Address |
4800 4th St N Saint Petersburg FL 33703-3817 |
| Mailing Address |
421 48th Ave N Saint Petersburg FL 33703-3824 |
| Practice Telephone | 7275281133 |
| Practice Fax Number | 7275273750 |
| Mailing Telephone | 7275276095 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0005777 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | 39666 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636426 | Dianne Fernandez | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-02-27 |
| Street Address |
4800 4TH ST N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33703-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851702880 | Alex Zane Morgan | Chiropractor | 4800 4th St N, Saint Petersburg, FL 33703-3817 | 2014-05-13 |
| 1750424255 | Dr Dianne M Fernandez and Associates Pa | Chiropractor | 4800 4th St N, Saint Petersburg, FL 33703-3817 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1457857773 | Molly Christine Letourneau | Chiropractor | 736 86th Ave N, Saint Petersburg, FL 33702-3412 | 2018-04-04 |
| 1073970992 | Blake W Squire | Chiropractor | 5105 Central Ave, Saint Petersburg, FL 33710-8140 | 2016-01-22 |
| 1386918464 | Kiersten Mcleod Ogden | Chiropractor | 3200 4th N St, Saint Petersburg, FL 33704-2127 | 2012-03-07 |
| 1538440185 | Andrew Leverone | Chiropractor | 11270 4th St N, Suite 208, Saint Petersburg, FL 33716-2937 | 2011-09-08 |
| 1659666493 | Ashley C Heyward | Chiropractor | 2206 4th St N, Saint Petersburg, FL 33704-4314 | 2011-06-09 |
| 1578880357 | Colby Weston Staubs | Chiropractor | 6514 Central Ave, Saint Petersburg, FL 33707-1330 | 2010-05-03 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| 1578768438 | Baker Chiropractic Inc. | Chiropractor | 5500 10th Ave N, Saint Petersburg, FL 33710-6428 | 2007-06-19 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on DR. DIANNE MICHELLE 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.