STEPHANIE FAZENBAKER (NPI# 1346706553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346706553 |
| Entity Type | Individual |
| Full Name | STEPHANIE FAZENBAKER |
| Credential | PA-C |
| Practice Address |
1213 E Clay St Richmond VA 23298-5071 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048283060 |
| Practice Fax Number | 8048283046 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006554 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 417 N 11th St, Richmond, VA 232985002 | 8048283060 | 8048283045 |
| Street Address |
1213 E CLAY ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033220322 | Erin P Broush | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2006-08-31 |
| 1013524891 | Ethan Newham | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-09-25 |
| 1780298026 | Danny Artnette Mallory | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-09-03 |
| 1578191706 | Alicia Annie Oharonian | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-04-01 |
| 1073141602 | Madeline Olivia Hardy | Registered Nurse | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-03-30 |
| 1588290894 | Clementine Akpor-mensah | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-03-18 |
| 1154956597 | Emily Joy Seay | Registered Nurse | 1213 E Clay St, Richmond, VA 23298-5071 | 2020-03-05 |
| 1497241467 | Jennifer Leigh Stiles | Physician Assistant | 1213 E Clay St, Richmond, VA 23298-5071 | 2018-07-02 |
| 1831686013 | Kayla Marie Flynn | Physician Assistant | 1213 E Clay St, Richmond, VA 23298-5071 | 2018-04-13 |
| 1881194298 | Amy Elizabeth Lynch | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1306460316 | Humaira Farukh | Physician Assistant | 13903 Carncross Ct, Richmond, TX 77407-1007 | 2020-06-04 |
| 1609413640 | Abigail Marie Stone | Physician Assistant | 16 N Vine St Apt 213, Richmond, VA 23220-4565 | 2019-12-10 |
| 1881241305 | Lauren Elizabeth Desroches | Physician Assistant | 7101 Jahnke Rd # 205, Richmond, VA 23225-4017 | 2019-08-20 |
| 1720633530 | Sabrina Chica | Physician Assistant | 7405 Montrose Ave, Richmond, VA 23227-1808 | 2019-08-08 |
| 1235790569 | Emma Katherine Cahoon | Physician Assistant | 20 Chelsea Farm Dr, Richmond, RI 02898-1221 | 2019-06-26 |
| 1699249615 | Kendra Ray Long | Physician Assistant | 9119 Stony Point Pkwy Apt 4203, Richmond, VA 23235-2076 | 2019-01-12 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1164954590 | Allyson Hudson Saunders | Physician Assistant | 7101 Jahnke Rd., Suite # 260, Richmond, VA 23225 | 2017-04-03 |
| Find all providers in RICHMOND | ||||
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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.