RYAN MICHAEL FERNANDEZ
NPI 1932804663
Student in an Organized Health Care Education/Training Program in Brandon, FL

Active since April 03, 2023PECOS Enrolled
615 VONDERBURG DR, BRANDON, FL 33511(813) 421-4663 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Apr 3, 2023 (2 updates tracked since 2023).

About Ryan Michael Fernandez NPPES

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

RYAN MICHAEL FERNANDEZ (NPI 1932804663) is an individual student in an organized health care education/training program in Brandon, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932804663
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN MICHAEL FERNANDEZ
Location Address615 VONDERBURG DRBrandon, FL 33511-5972
Mailing Address615 Vonderburg DrBrandon, FL 33511-5972 · (813) 421-4663
Sole ProprietorYes
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1932804663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
615 VONDERBURG DR, Brandon, FL 33511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Michael Fernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
615 VONDERBURG DR, HCA FLORIDA BRANDON HOSPITAL USF MORSANI COLLEGE OF MED
BRANDON, FL 33511
Physical Therapist
615 VONDERBURG DR
BRANDON, FL 33511
Orthopaedic Surgery
615 VONDERBURG DR
BRANDON, FL 33511
Physical Therapist
615 VONDERBURG DR
BRANDON, FL 33511
Thoracic Surgery (Cardiothoracic Vascular Surgery)
615 VONDERBURG DR
BRANDON, FL 33511
Family Medicine (Adult Medicine)
615 VONDERBURG DR
BRANDON, FL 33511
Specialist/Technologist (Athletic Trainer)
615 VONDERBURG DR
BRANDON, FL 33511
Clinic/Center
615 VONDERBURG DR
BRANDON, FL 33511

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 Ryan Fernandez's NPI number?

The NPI number for Ryan Fernandez is 1932804663. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Ryan Fernandez located?

Ryan Fernandez practices at 615 Vonderburg Dr, Brandon, FL 33511. The listed phone number is (813) 421-4663.

What is Ryan Fernandez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Fernandez enrolled in Medicare?

Yes. Ryan Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Fernandez was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.