JEANINE FERNANDEZ (NPI# 1912286188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912286188 |
| Entity Type | Individual |
| Full Name | JEANINE FERNANDEZ |
| Credential | M.S. |
| Practice Address |
7264 Sw 122nd Pl Miami FL 33183-3606 |
| Practice Telephone | 3055424442 |
| Practice Fax Number | 3055962434 |
| Mailing Telephone | 3055424442 |
| Mailing Fax Number | 3055962434 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669725891 | Jeanine Fernandez | Nurse Anesthetist, Certified Registered | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2012-10-25 |
| Street Address |
7264 SW 122ND PL |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366885956 | Distinctively Abled, Inc. | Early Intervention Provider Agency | 7264 Sw 122nd Pl, Miami, FL 33183-3606 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047918 | Tia Brown Morgan | Developmental Therapist | 12035 Sw 218th St, Miami, FL 33170-2834 | 2020-03-10 |
| 1104450576 | Samantha Hernandez | Developmental Therapist | 8847 Sw 12th St, Miami, FL 33174-3301 | 2020-02-25 |
| 1033759436 | Yudima Fernandez Heredia | Developmental Therapist | 14909 Sw 80th St Apt 205, Miami, FL 33193-3149 | 2020-01-14 |
| 1982241543 | Susana Altagracia Sanchez | Developmental Therapist | 9440 Fontainebleau Blvd Apt 417, Miami, FL 33172-5559 | 2019-12-03 |
| 1699320085 | Nubis M Perks | Developmental Therapist | 16102 Sw 103rd Ct, Miami, FL 33157-3146 | 2019-08-02 |
| 1174181085 | Lil Susana Basulto | Developmental Therapist | 9110 Sw 137th Ave Apt 208, Miami, FL 33186-1414 | 2019-06-05 |
| 1003395971 | Neisa Fernandez Perez | Developmental Therapist | 14750 Sw 26th St Ste 209, Miami, FL 33185-5937 | 2018-08-10 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1467965137 | Taniuska Alberti Martinez | Developmental Therapist | 1235 Sw 24th Ave, Miami, FL 33135-4823 | 2017-11-15 |
| 1174032031 | Ismery D Morales Martinez | Developmental Therapist | 6200 W Flagler St, Miami, FL 33144-3068 | 2017-09-22 |
| 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.