MICHELLE FERNANDEZ (NPI# 1467907618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467907618 |
| Entity Type | Individual |
| Full Name | MICHELLE FERNANDEZ |
| Practice Address |
530 E Riley Dr Avondale AZ 85323-2154 |
| Practice Telephone | 6239327300 |
| Practice Fax Number | 6239327311 |
| Mailing Telephone | 6239327300 |
| Mailing Fax Number | 6239327311 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 86-6004326 | AZ | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 594722 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1255570560 | Michelle Marie Fernandez | Speech-Language Pathologist | 6200 Sw 73rd St # At, South Miami, FL 33143-4679 | 2009-02-10 |
| 1164906954 | Michelle Marie Fernandez | Specialist/Technologist | 7210 Sw 57th Ave, South Miami, FL 33143-5321 | 2018-09-18 |
| 1619321122 | Michelle Fernandez | Dentist | 2153 Gallatin Pike N, Madison, TN 37115 | 2016-04-20 |
| 1912398090 | Michelle Christine Fernandez | Counselor | 7225 N 1st St Ste 101, Fresno, CA 93720-2986 | 2015-02-11 |
| 1194079319 | Michelle Ann Fernandez | Specialist/Technologist | 835 N Expressway, Suite A, Brownsville, TX 78520-6831 | 2012-11-09 |
| 1205110442 | Michelle Fernandez | Nurse Practitioner | 10116 W 105th St, Overland Park, KS 66212 | 2011-10-06 |
| 1609156553 | Michelle Suzanna Fernandez | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-08-24 |
| 1841466554 | Michelle Christine Fernandez | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-05-02 |
| Street Address |
530 E RILEY DR |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336358795 | Agua Fria Union High School District | Local Education Agency (LEA) | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2007-05-22 |
| 1164654133 | Jessica Jean Fisher | Counselor | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2009-08-10 |
| 1497986798 | Marina Antunez | Licensed Practical Nurse | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| 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 |
|---|---|---|---|---|
| 1063076586 | Jessica Chu | Student in an Organized Health Care Education/Training Program | 125 Noel Dr, Avondale, LA 70094-2965 | 2019-04-30 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1780184432 | Raymond William Reimann Jr. | Student in an Organized Health Care Education/Training Program | 181 Becky Dr, Avondale, LA 70094-2807 | 2018-02-20 |
| 1477862258 | Alexandria Diggins | Student in an Organized Health Care Education/Training Program | 1600 South 107th Avenue, Avondale, AZ 85323-3309 | 2010-09-28 |
| 1336762483 | Liza Snyder | Student in an Organized Health Care Education/Training Program | 10320 W Mcdowell Rd, Avondale, AZ 85392-4863 | 2020-05-23 |
| 1598008757 | Doris Jean Caldwell | Student in an Organized Health Care Education/Training Program | 350 S 118th Ave, Avondale, AZ 85323-1177 | 2013-04-05 |
| 1801075916 | Littleton Elementary School Dist 65 | Student in an Organized Health Care Education/Training Program | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669215 | Rhian Kay Sage | Student in an Organized Health Care Education/Training Program | 737 E Fillmore St, Tempe, AZ 85281-1142 | 2020-11-08 |
| 1730788928 | Gabriella Jones | Student in an Organized Health Care Education/Training Program | 12104 S 181st Dr, Goodyear, AZ 85338-7865 | 2020-10-20 |
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1265039283 | Meghan Houston | Student in an Organized Health Care Education/Training Program | 3600 W Ray Rd Apt 2103, Chandler, AZ 85226-7719 | 2020-10-02 |
| 1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1518570456 | Ashlyn Marie Herbert | Student in an Organized Health Care Education/Training Program | 2760 E Butler Ave, Flagstaff, AZ 86004-6001 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.