MRS. JENNIFER L FAUTAS (NPI# 1235568403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235568403 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L FAUTAS |
| Credential | ACNS-BC |
| Practice Address |
7067 Tiffany Blvd Suite 230 Youngstown OH 44514-1993 |
| Mailing Address |
1320 Mercy Nwdr Canton OH 44708-2614 |
| Practice Telephone | 3307582748 |
| Practice Fax Number | 3307583282 |
| Mailing Telephone | 3304891478 |
| Mailing Fax Number | 3304302717 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
15347NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7067 TIFFANY BLVD SUITE 230 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44514-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153830 | Santuccio Ricciardi | Internal Medicine | 7067 Tiffany Blvd, Ste 250, Youngstown, OH 44514-1981 | 2005-06-13 |
| 1861724619 | Michael P Stanich Do Inc | Orthopaedic Surgery | 7067 Tiffany Blvd, Suite 150, Youngstown, OH 44514-1981 | 2010-02-04 |
| 1659539344 | Clinic Medical Services Company | Radiology | 7067 Tiffany Blvd, Youngstown, OH 44514-1993 | 2008-05-29 |
| 1023296084 | Michael P. Stanich, Do | Orthopaedic Surgery | 7067 Tiffany Blvd, Suite 150, Youngstown, OH 44514-1993 | 2008-02-01 |
| 1215118658 | Mahoning Anesthesia Consultants, LLC | Anesthesiology | 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 | 2007-11-14 |
| 1518904440 | Priscilla E Briguglio | Physician Assistant | 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 | 2006-05-31 |
| 1649238072 | Shawn Michael Donatelli | Anesthesiology | 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 | 2006-05-03 |
| 1114986015 | Michael P Stanich | Orthopaedic Surgery | 7067 Tiffany Blvd, Suite 150, Youngstown, OH 44514-1981 | 2006-03-20 |
| 1518933563 | Babitha Nalluri | Obstetrics & Gynecology | 7067 Tiffany Blvd, Suite 220, Youngstown, OH 44514-1993 | 2006-02-28 |
| 1891794970 | Dean R Ball | Radiology | 7067 Tiffany Blvd, Youngstown, OH 44514-1993 | 2005-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682107 | Laura L Hutchinson | Clinical Nurse Specialist | 8821 Blossom Cir Nw, Massillon, OH 44646-1346 | 2019-07-29 |
| 1316417082 | Phyllis A Smith | Clinical Nurse Specialist | 972 Kahn Ave, Hamilton, OH 45011-4458 | 2018-11-26 |
| 1609293281 | Jennifer Colwill | Clinical Nurse Specialist | 253 E 326th St, Willowick, OH 44095-3238 | 2014-03-21 |
| 1710304316 | Esther Lene Bage | Clinical Nurse Specialist | 2226 Yellow Pine Ave, Columbus, OH 43229-4672 | 2014-03-21 |
| 1497311633 | Loletia Davis | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-14 |
| 1629535299 | Drina Nemes | Clinical Nurse Specialist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2019-03-01 |
| 1578020327 | Sarah R Lendvay | Clinical Nurse Specialist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2019-02-28 |
| 1255824215 | Michelle Louise Porter | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2018-06-13 |
| 1497261218 | Michele Mcphie | Clinical Nurse Specialist | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2017-12-15 |
| 1922528793 | Jennifer Michelle Cohen | Clinical Nurse Specialist | 800 W Main St, Coldwater, OH 45828-1613 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44514 |
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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.