KATRIELLA FERNANDEZ FNP-C NPI 1073169454

NPI Information

  • NPI: 1073169454
  • Provider Name: KATRIELLA FERNANDEZ, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6064 S FORT APACHE RD STE 100
    LAS VEGAS, NV
    ZIP 89148
  • Phone: (702) 940-8007

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NPI Details

Katriella Fernandez, FNP-C is a family nurse practitioner in Las Vegas, NV. Katriella Fernandez, FNP-C NPI is 1073169454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6064 S FORT APACHE RD STE 100
LAS VEGAS, NV
ZIP 89148-350
Phone: (702) 940-8007
Fax: (702) 832-1940

The NPI 1073169454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine823656NEVADANo
2363LF0000XNurse PractitionerFamily823656NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073169454MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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