MRS. ZENE FAWN FENTON (NPI# 1336150515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336150515 |
| Entity Type | Individual |
| Full Name | MRS. ZENE FAWN FENTON |
| Other Name | MISS ZENE FAWN GERVAIS |
| Credential | OTR/L |
| Practice Address |
2305 Mendocino Ave Ste B Santa Rosa CA 95403-3157 |
| Mailing Address |
2360 Mendocino Ave A2 #173 Santa Rosa CA 95403-3153 |
| Practice Telephone | 7075442637 |
| Practice Fax Number | 7075442088 |
| Mailing Telephone | 7075442637 |
| Mailing Fax Number | 7075442088 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT2583 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | OT-0025830 | 01 |
| Street Address |
2305 MENDOCINO AVE STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673816 | Redwood Hand Therapy Inc | Occupational Therapist | 320 Tesconi Cir, Suite G, Santa Rosa, CA 95401-4611 | 2005-07-19 |
| 1245403641 | Sarah Ann Sizemore | Occupational Therapist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2008-04-07 |
| 1972667996 | Michelle Monti | Occupational Therapist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-12-21 |
| 1093874463 | Steve & Donna B. Eakin | Occupational Therapist | 2305 Mendocino Ave, Suite B, Santa Rosa, CA 95403-3157 | 2006-12-08 |
| 1023176450 | Carolyn Bartlett | Occupational Therapist | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2006-12-05 |
| 1497849004 | Diane Michie Tengan Harsch | Occupational Therapist | 320 Tesconi Cir, Suite G, Santa Rosa, CA 95401-4611 | 2006-10-03 |
| 1417960329 | Margo Marie Toft Louwerse | Occupational Therapist | 320 Tesconi Cir, Suite G, Santa Rosa, CA 95401-4611 | 2006-08-14 |
| 1861403016 | Donna Beth Eakin | Occupational Therapist | 320 Tesconi Cir, Suite G, Santa Rosa, CA 95401-4611 | 2006-08-11 |
| 1720099963 | Steven Eugene Eakin | Occupational Therapist | 320 Tesconi Cir, Suite G, Santa Rosa, CA 95401-4611 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
| 1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
| 1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
| 1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
| 1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
| 1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
| 1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
| 1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
| 1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
| 1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on MRS. ZENE FAWN FENTON.
| 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.