IndividualActive
Justin Fernando
NPI 1477095040 · Student in an Organized Health Care Education/Training Program · Bellevue, WA
Provider details
- NPI number
- 1477095040
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 60596660 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 60596660 (WA)
Student, Health Care
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15100 Se 38th St
Bellevue, WA 98006-1728
Phone: (425) 746-4028
Street-level locationGet directions
Mailing address
15100 Se 38th St
Bellevue, WA 98006-1728
Registry dates
- Enumerated
- 2016-11-13
- Last updated
- 2016-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.