LESLIE M FERNANDEZ (NPI# 1164773834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164773834 |
| Entity Type | Individual |
| Full Name | LESLIE M FERNANDEZ |
| Practice Address |
200 Tyre Ave Newark DE 19711-7136 |
| Practice Telephone | 3024542047 |
| Practice Fax Number | 3024545442 |
| Mailing Telephone | 3024542047 |
| Mailing Fax Number | 3024545442 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
868456 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985511 | Leslie Fernandez | Occupational Therapist | 1869 Stageline Cir, Rocklin, CA 95765-5470 | 2014-01-10 |
| 1629326236 | Leslie Kay Fernandez | Licensed Practical Nurse | 323 Buckeye Ave, Alliance, OH 44601-1515 | 2012-08-29 |
| 1790329241 | Leslie Yenil Fernandez | Occupational Therapist | 10508 Jamaica Ave, Richmond Hill, NY 11418-2013 | 2019-10-28 |
| 1154898443 | Leslie Fernandez | Behavior Technician | 9600 Nw 25th St Ste Ph, Doral, FL 33172 | 2018-10-25 |
| 1942759931 | Leslie Fernandez | Behavioral Analyst | 2500 Nw 107th Ave, #200, Doral, FL 33172-5925 | 2016-10-01 |
| 1558713966 | Leslie Fernandez | Clinic/Center | 7929 N Shepherd Dr, Houston, TX 77088-6346 | 2016-07-09 |
| 1790108868 | Leslie P Fernandez | Nurse Anesthetist, Certified Registered | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2014-01-27 |
| 1992015358 | Leslie Fernandez | Speech-Language Pathologist | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2010-10-19 |
| Street Address |
200 TYRE AVE |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780728683 | Dorothy Brabson | Registered Nurse | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| 1720331317 | Lauren M Wells | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-10-19 |
| 1457600223 | Remone P Mundle | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-09-07 |
| 1780933283 | Hali F Bernstein | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-08-30 |
| 1740538552 | Melissa Kimberly Andrade | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-08-28 |
| 1053679597 | Susan Johnson | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-05-02 |
| 1659645315 | Amy C Lowe | Psychologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-02-28 |
| 1427328061 | Melissa L Schaffer | Occupational Therapy Assistant | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-01-12 |
| 1629348552 | Stephanie Dryden | Occupational Therapy Assistant | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-01-10 |
| 1922376672 | Lindsay Ambriz | Psychologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568860989 | Matthew Facemire | Psychologist | 3797 Pleasant Chapel Rd, Newark, OH 43056-9627 | 2014-12-17 |
| 1275931396 | Jeffrey Petrey | Psychologist | 1341 Estates Dr, Newark, OH 43055-1787 | 2014-12-06 |
| 1497005227 | Victoria E Sackett | Psychologist | 868 Peirson Ave., Newark, NY 14513-9762 | 2012-09-19 |
| 1225645492 | Michelle Elenore Salvatore | Psychologist | 55a S Meadowood Dr, Newark, DE 19711-6755 | 2020-09-30 |
| 1639738024 | Kara James | Psychologist | 848 Peirson Ave, Newark, NY 14513-9762 | 2019-06-10 |
| 1992362495 | Lathyrelle Alease Isler | Psychologist | 1901 S College Ave, Newark, DE 19702-2377 | 2019-05-21 |
| 1558841569 | Angela Bacak | Psychologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-08-19 |
| 1134608920 | Karlie Anne Foy | Psychologist | 621 Mount Vernon Rd, Newark, OH 43055-4615 | 2018-08-13 |
| 1699253070 | Robert C Timmons | Psychologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-07-30 |
| 1245693407 | Sarah Brocker | Psychologist | 621 Mount Vernon Rd, Newark, OH 43055-4615 | 2016-04-04 |
| Find all providers in NEWARK | ||||
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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.