KANAN DOMINICA LUCY FERNANDES CRNP
NPI 1891094512
Nurse Practitioner - Acute Care in Takoma Park, MD

Active since March 21, 2011
7600 CARROLL AVE, TAKOMA PARK, MD 20912(301) 891-7600 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanan Dominica Lucy Fernandes Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANAN DOMINICA LUCY FERNANDES CRNP (NPI 1891094512) is an individual acute care provider in Takoma Park, Maryland, licensed in Maryland (R164021) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1891094512
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKANAN DOMINICA LUCY FERNANDESCredential: CRNP
Location Address7600 CARROLL AVETakoma Park, MD 20912-6367
Mailing Address13629 Palmetto CirGermantown, MD 20874-6234 · (301) 528-2016
Sole ProprietorYes
Enumeration DateMarch 21, 2011
NPI 1891094512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MD · R164021
7600 CARROLL AVE, Takoma Park, MD 20912

Other Identifiers 1

OtherR164021MD · Maryland Board Of Nursing- Crnp License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Physician Assistant (Surgical)
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Anesthesiology
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Physical Therapist
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Nurse Practitioner (Adult Health)
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Physical Therapist
7600 CARROLL AVE, UNIT 5200
TAKOMA PARK, MD 20912
Speech-Language Pathologist
7600 CARROLL AVE
TAKOMA PARK, MD 20912
Internal Medicine
7600 CARROLL AVE
TAKOMA PARK, MD 20912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanan Fernandes's NPI number?

The NPI number for Kanan Fernandes is 1891094512. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Kanan Fernandes located?

Kanan Fernandes practices at 7600 Carroll Ave, Takoma Park, MD 20912. The listed phone number is (301) 891-7600.

What is Kanan Fernandes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Kanan Fernandes was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.