DANIEL EDWARD FENTON II (NPI# 1093283863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093283863 |
| Entity Type | Individual |
| Full Name | DANIEL EDWARD FENTON II |
| Credential | FNP-C |
| Practice Address |
1217 Bonita St Grants NM 87020-2103 |
| Mailing Address |
824 Houston Ave Grants NM 87020-3017 |
| Practice Telephone | 5052872958 |
| Mailing Telephone | 5053151162 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN-70242 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154898 | Daniel Fenton | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2018-11-30 |
| 1154875961 | Daniel Fenton | Community/Behavioral Health | 4126 Opal St, 7, Oakland, CA 94609-2672 | 2016-08-10 |
| 1457664229 | Daniel M Fenton | Dentist | 9140 S Federal Hwy, Port St Lucie, FL 34952-3485 | 2010-07-21 |
| Street Address |
1217 BONITA ST |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306856166 | Lita C Bailly | Nurse Practitioner | 1217 Bonita St, Grants, NM 87020-2103 | 2006-08-08 |
| 1538775382 | Anna Nance | Registered Nurse | 1217 Bonita St, Grants, NM 87020-2103 | 2020-09-17 |
| 1891171955 | Justin Matthew Palmer | Physician Assistant | 1217 Bonita St, Grants, NM 87020-2103 | 2015-07-30 |
| 1114282175 | Clayton Smith | Family Medicine | 1217 Bonita St, Grants, NM 87020-2103 | 2012-07-05 |
| 1588947113 | Nicole Neal | Counselor | 1217 Bonita St, Pms Dba Wnmmg, Grants, NM 87020-2103 | 2011-09-20 |
| 1922396506 | Johnathon L Riley | Counselor | 1217 Bonita St, Grants, NM 87020-2103 | 2011-07-15 |
| 1972803823 | Josephine Lynnette Elkins | Counselor | 1217 Bonita St, Grants, NM 87020-2103 | 2010-10-26 |
| 1619286499 | Ashlei L Allen | Counselor | 1217 Bonita St, Grants, NM 87020-2103 | 2010-09-28 |
| 1730496860 | Elven Ray Clemons | Counselor | 1217 Bonita St, Grants, NM 87020-2103 | 2010-09-10 |
| 1902113632 | Linda A Brito | Counselor | 1217 Bonita St, Grants, NM 87020-2103 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306856166 | Lita C Bailly | Nurse Practitioner | 1217 Bonita St, Grants, NM 87020-2103 | 2006-08-08 |
| 1003889254 | Dorcas Ann Yates | Nurse Practitioner | 1010 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-02-08 |
| 1669954053 | Angela Marie Montgomery | Nurse Practitioner | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2018-08-31 |
| 1477043594 | Martha Elia Reyes | Nurse Practitioner | 1423 E Roosevelt Ave, Grants, NM 87020-2245 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
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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.