JESSICA FERNANDEZ (NPI# 1073110987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073110987 |
| Entity Type | Individual |
| Full Name | JESSICA FERNANDEZ |
| Practice Address |
12505 Orange Dr Ste 908 Davie FL 33330-4300 |
| Mailing Address |
15104 Sw 298th Ter Homestead FL 33033-3760 |
| Practice Telephone | 9543420982 |
| Mailing Telephone | 7862693646 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMT3271 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440959 | Jessica Fernandez | Behavioral Analyst | 550 Sw 108th Ave Apt 206, Pembroke Pines, FL 33025-7136 | 2020-03-01 |
| 1386299857 | Jessica Christine Fernandez | Student in an Organized Health Care Education/Training Program | 2407 Baltimore St, Laredo, TX 78041-3903 | 2019-08-01 |
| 1508137621 | Jessica Fernandez | Speech-Language Pathologist | 21 Willett Ave Apt 301, Port Chester, NY 10573-4356 | 2012-01-20 |
| 1578706081 | Jessica Fernandez | Contractor | 5225 Nesconset Highway, Suite 30, Port Jefferson Station, NY 11776-2060 | 2009-04-14 |
| 1134738016 | Jessica Christine Fernandez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-07-28 |
| 1982245601 | Jessica Nicole Fernandez | Occupational Therapy Assistant | 21703 Kingsland Blvd Ste 100, Katy, TX 77450-2521 | 2019-10-03 |
| 1053832477 | Jessica Arleny Fernandez | Nurse Practitioner | 5645 Main St, Flushing, NY 11355-5045 | 2017-07-06 |
| 1104233857 | Jessica L. Fernandez | Physician Assistant | 1470 Madison Ave, New York, NY 10029-6542 | 2014-07-15 |
| 1881019776 | Jessica Michelle Fernandez | Marriage & Family Therapist | 2275 S Main St, Suite 201, Corona, CA 92882-5303 | 2014-02-28 |
| 1891825709 | Jessica Maria Fernandez | Dentist | 8750 Sw Highway 200, Ste 101, Ocala, FL 34481-7810 | 2007-03-07 |
| Street Address |
12505 ORANGE DR STE 908 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681137 | Carol Mirones | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-05-19 |
| 1548860109 | Act Florida, LLC | Community/Behavioral Health | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-31 |
| 1699372334 | Katina Williams Nelson | Counselor | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-06 |
| 1962009092 | Carol Mirones LLC | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-01 |
| 1639796675 | Seasons Psychotherapy Associates LLC | Psychologist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964308 | Kelsey Railsback | Marriage & Family Therapist | 2320 Sw 97th Ln, Davie, FL 33324-4706 | 2020-05-26 |
| 1841830015 | Beverley Andre | Marriage & Family Therapist | 8380 W State Road 84, Davie, FL 33324-4546 | 2020-01-15 |
| 1548805922 | Tiffinie Antwanette Swan | Marriage & Family Therapist | 5400 S University Dr Ste 504, Davie, FL 33328-5313 | 2019-11-09 |
| 1568005841 | Helen Therese Maria Reynolds | Marriage & Family Therapist | 4431 Sw 64th Ave Ste 107, Davie, FL 33314-3458 | 2019-10-19 |
| 1902455009 | Arthrine Roberts | Marriage & Family Therapist | 351 Sw 136th Ave Ste 102, Davie, FL 33325-3153 | 2019-09-11 |
| 1952875668 | Bryan Granie | Marriage & Family Therapist | 4900 S University Dr Ste 200b, Davie, FL 33328-3811 | 2019-01-15 |
| 1033633607 | Jenna Wilson | Marriage & Family Therapist | 6555 Nova Dr Ste 300, Davie, FL 33317-7404 | 2017-07-26 |
| 1972041234 | Natalya Fateyeva | Marriage & Family Therapist | 12565 Orange Dr Ste 406, Davie, FL 33330-4310 | 2017-02-07 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1326582230 | Ohana Therapy Center | Marriage & Family Therapist | 12555 Orange Dr Ste 224, Davie, FL 33330-4304 | 2016-12-12 |
| Find all providers in DAVIE | ||||
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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.