NICOLE MARIE FAVA (NPI# 1356457147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356457147 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE FAVA |
| Credential | ATC |
| Practice Address |
111 Victoria Rd Asheville NC 28801-4811 |
| Mailing Address |
623 Haw Creek Mews Pl Asheville NC 28805-7902 |
| Practice Telephone | 8282527331 |
| Practice Fax Number | 8282531123 |
| Mailing Telephone | 9196194837 |
| Mailing Fax Number | 8282531123 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07893 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | ATHLETIC TRAINING LICENSE | 0636 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Campus Health Service, 101a Manning Dr, Chapel Hill, NC 275990001 | 9199666548 | 9198434771 |
| Street Address |
111 VICTORIA RD |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28801-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506848 | Donald L Mullis | Orthopaedic Surgery | 111 Victoria Rd, Asheville, NC 28801-4811 | 2005-05-24 |
| 1386262913 | Samantha Denise Carson | Nurse Practitioner | 111 Victoria Rd, Asheville, NC 28801-4811 | 2020-07-09 |
| 1912359001 | Luke Stockdale | Physician Assistant | 111 Victoria Rd, Asheville, NC 28801-4811 | 2016-07-13 |
| 1023480357 | Eric Timothy Walker | Physician Assistant | 111 Victoria Rd, Asheville, NC 28801-4811 | 2015-10-26 |
| 1629466941 | Levi Cales | Specialist/Technologist | 111 Victoria Rd, Asheville, NC 28801-4811 | 2015-01-08 |
| 1376963702 | Mission Medical Associates, Inc | Orthopaedic Surgery | 111 Victoria Rd, Asheville, NC 28801-4811 | 2014-04-24 |
| 1790128809 | Ryan Keith Kohout | Physical Medicine & Rehabilitation | 111 Victoria Rd, Asheville, NC 28801 | 2013-04-09 |
| 1780924795 | Elizabeth Claire Kain | Physician Assistant | 111 Victoria Rd, Asheville, NC 28801-4811 | 2013-02-28 |
| 1174875389 | Samantha Munsell | Physician Assistant | 111 Victoria Rd, Asheville, NC 28801-4811 | 2012-10-11 |
| 1609143445 | Biltmore Physical Therapy, LLC | Clinic/Center | 111 Victoria Rd, B, Asheville, NC 28801-4811 | 2011-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174153274 | Taylor Jules Maclean | Chiropractor | 257 Broadway St, Suite 309, Asheville, NC 28801 | 2020-01-17 |
| 1023598562 | Tara Tecce | Counselor | Rha Behavioral Health Services, 356 Biltmore Ave, Asheville, NC 28801 | 2018-08-15 |
| 1972082444 | Asheville Counseling and Psychotherapy Center PC | Social Worker | 390 Merrimon Avenue, Asheville, NC 28801 | 2018-08-07 |
| 1710475736 | J. Eric Dollinger D.d.s., P.a | Dentist | 192 E. Chestnut St., Suite A, Asheville, NC 28801 | 2018-04-25 |
| 1295240919 | Vered Counseling Co | Community/Behavioral Health | 29 Ravenscroft Dr Ste 208, Asheville, NC 28801 | 2017-12-04 |
| 1790203206 | Alison Rhodes | Counselor | 55 Washington Road, Asheville, NC 28801 | 2017-09-05 |
| 1235657859 | Katherine Wingfield Ford | Counselor | 29 Ravenscroft Drive Suite 305, Asheville, NC 28801 | 2017-09-04 |
| 1205384708 | Martine Luntz Jones | Psychologist | 56 Clayton St, Asheville, NC 28801 | 2016-09-14 |
| 1851753842 | Rebekkah Anne Merrell | Dentist | 167 E. Chestnut St, Asheville, NC 28801 | 2016-03-28 |
| 1093105074 | Trails Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 90 Church Street, Asheville, NC 28801 | 2015-01-29 |
| Find all providers in zip 28801 | ||||
| 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 |
|---|---|---|---|---|
| 1821635830 | Fosnight Center for Sexual Health, Pllc | Physician Assistant | 6 Yorkshire St Ste D, Asheville, NC 28803-2768 | 2019-12-09 |
| 1275188096 | Taylor Pilgrim | Physician Assistant | 71 Dunkirk Rd, Asheville, NC 28803-2243 | 2019-08-08 |
| 1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
| 1669991717 | Daniel Jason Fredericks | Physician Assistant | 5 Kitchin Pl # 220, Asheville, NC 28803 | 2017-09-10 |
| 1073039913 | Edward Jordan Doyle | Physician Assistant | 7 Brad St, Asheville, NC 28803-1607 | 2017-08-22 |
| 1952712952 | Melissa King | Physician Assistant | 372 Depot St Ste 10, Asheville, NC 28801-4370 | 2014-05-13 |
| 1881025484 | Meredith Chivers Rinehart | Physician Assistant | 513 Mcdowell St, Asheville, NC 28803-0381 | 2013-12-06 |
| 1760667463 | Susan Metius Hamrick | Physician Assistant | 100 Ridgefield Court Hope Women's Ca.ctr & Mission, Asheville, NC 28806-2270 | 2008-01-02 |
| 1033315395 | Kellye Rabb Bookout | Physician Assistant | 1119 Hendersonville Rd, Suite 200, Asheville, NC 28803-1803 | 2007-06-25 |
| 1730305681 | Ashley Suzanne Wilson | Physician Assistant | 264 Thetford St, Suite 120, Asheville, NC 28803-5064 | 2007-04-18 |
| Find all providers in ASHEVILLE | ||||
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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.