CARMEN FANOUS (NPI# 1316469026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316469026 |
| Entity Type | Individual |
| Full Name | CARMEN FANOUS |
| Practice Address |
22590 Shady Ct California MD 20619-5009 |
| Mailing Address |
1 Hurley Plz Flint MI 48503-5902 |
| Practice Telephone | 3013737900 |
| Practice Fax Number | 3013736900 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
22590 SHADY CT |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013042209 | Michael Edward Perraut | Emergency Medicine | 22590 Shady Ct, California, MD 20619-5009 | 2007-02-21 |
| 1609350206 | Mary Ann Lucero-pierce | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2018-09-19 |
| 1821590878 | Christine Ridpath | Family Medicine | 22590 Shady Ct, California, MD 20619 | 2018-03-06 |
| 1497270110 | Guillana Simon | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2017-08-03 |
| 1790160968 | Miriam Aleproti | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2015-07-29 |
| 1104175819 | Patricia Marie Duswalt | Midwife | 22590 Shady Ct, California, MD 20619-5009 | 2012-09-10 |
| 1356598106 | Kajal Samish Shah | Psychiatry & Neurology | 22590 Shady Ct, California, MD 20619-5009 | 2008-08-23 |
| 1225212756 | Naomi Ruth Constantine | Family Medicine | 22590 Shady Ct, California, MD 20619-5009 | 2007-12-19 |
| 1487865077 | Christine C Neurauter | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969812 | Alexis Dominique Rhone | Student in an Organized Health Care Education/Training Program | 250 University Ave, California, PA 15419-1341 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
| 1629676655 | Sam L Allen | Student in an Organized Health Care Education/Training Program | 705 Colby Ave, Takoma Park, MD 20912-5439 | 2020-10-12 |
| 1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
| 1003413345 | Nada S Wilson | Student in an Organized Health Care Education/Training Program | Vesta, 9301 Annapolis Rd, Lanham, MD 20706-1001 | 2020-10-08 |
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1073120523 | Raymon Darby | Student in an Organized Health Care Education/Training Program | 5407 Macbeth St, Hyattsville, MD 20784-1009 | 2020-09-29 |
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1790391548 | Emily Kendrick Szachnowicz | Student in an Organized Health Care Education/Training Program | 1100 Paca Dr, Edgewater, MD 21037-4126 | 2020-09-17 |
| 1851906044 | Christela Turner | Student in an Organized Health Care Education/Training Program | 4710 Wilwyn Way, Rockville, MD 20852-2457 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
Please comment or provide details below to improve the information on CARMEN FANOUS.
| 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.