RICHARD ANTHONY FERNANDEZ (NPI# 1629502935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629502935 |
Entity Type | Individual |
Full Name | RICHARD ANTHONY FERNANDEZ |
Credential | M.D. |
Practice Address |
1000 Blythe Blvd Charlotte NC 28203-5812 |
Mailing Address |
332 Washington Creek Dr Willard NC 28478-7882 |
Practice Telephone | 7044469213 |
Mailing Telephone | 9105479071 |
Enumeration Date | 2017-04-13 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | STUDENT BLUE CROSS BLUE SHIELD | UUIW1673510201 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2500 Pocoshock Pl Ste 104, North Chesterfield, VA 232356345 | 8042769305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518148543 | Richard Elias Fernandez | Clinical Neuropsychologist | 223 East Flagler St, Suite 432, Miami, FL 33131 | 2007-11-19 |
1851519599 | Richard C Fernandez | Speech-Language Pathologist | 401 Ocean Ave, Suite 201a, Melbourne Beach, FL 32951-2558 | 2007-04-20 |
1558351437 | Richard D Fernandez | Pathology | 311 West 8th Street, Rome, GA 30165 | 2005-10-24 |
1598208670 | Richard Joseph Fernandez | Physical Therapist | 455 W 4th St Ste 10, Fostoria, OH 44830-1864 | 2016-11-22 |
1376709360 | Richard Paul Fernandez | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-07-30 |
1265541346 | Richard Fernandez | Specialist | 1 Daniel Burnham Ct, Suite 365c, San Francisco, CA 94109-5455 | 2006-08-30 |
1235110057 | Richard L Fernandez | Internal Medicine | 9210 Sw 72nd St, Ste 100, Miami, FL 33173-3274 | 2005-11-09 |
1376530113 | Richard E Fernandez | Radiology | 99 Highway 37, Toms River, NJ 08755-6423 | 2005-10-05 |
Street Address |
1000 BLYTHE BLVD |
City | CHARLOTTE |
State | NC |
Zip Code | 28203-5812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740282946 | Shoaib Lateef | Hospitalist | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2005-06-01 |
1588264527 | Elizabeth Lopez | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-29 |
1164021648 | Daniel Alan Nichols | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-26 |
1487267878 | Anna Molengraft | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-26 |
1699388116 | Cassandra L. Barnes | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
1407469927 | Lesley Rummage | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
1104437326 | Nicole Clarke | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-11 |
1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
1316556319 | Carly E Janusek | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-26 |
1932717212 | Lauren May Vanderlip | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
Find all providers in zip 28203 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544564 | Umuhire Ntabana | Student in an Organized Health Care Education/Training Program | 712 Woodruff Pl, Charlotte, NC 28208-4552 | 2020-09-29 |
1184236226 | Andrea Rose Corpus | Student in an Organized Health Care Education/Training Program | 7617 Grayling Ct, Charlotte, NC 28227-1200 | 2020-08-19 |
1548871445 | Deborah Hugh | Student in an Organized Health Care Education/Training Program | 4924 Dawnridge Dr, Charlotte, NC 28226-8088 | 2020-08-13 |
1922619337 | Connor Michael Gordley | Student in an Organized Health Care Education/Training Program | 824 Autumn Rain Ln, Charlotte, NC 28209-4794 | 2020-08-11 |
1396356796 | Kaitlin Anne Phelps | Student in an Organized Health Care Education/Training Program | 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 | 2020-08-11 |
1891306106 | Grace Horrall | Student in an Organized Health Care Education/Training Program | 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 | 2020-08-11 |
1124642756 | Umanah Healthcare Institute | Student in an Organized Health Care Education/Training Program | 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 | 2020-05-29 |
1407479108 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 12715 Mosby Ln, Charlotte, NC 28273-4841 | 2020-05-28 |
1043833916 | Rachel Marleen Grove | Student in an Organized Health Care Education/Training Program | 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 | 2020-05-26 |
1669095733 | Zachary A Wood | Student in an Organized Health Care Education/Training Program | 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 | 2020-05-25 |
Find all providers in CHARLOTTE |
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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.