STEPHEN DALE FANNIN (NPI# 1417459132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417459132 |
| Entity Type | Individual |
| Full Name | STEPHEN DALE FANNIN |
| Credential | ED.S. |
| Practice Address |
2801 Turnpike Rd Portsmouth VA 23707-4630 |
| Mailing Address |
325 Colony Rd Newport News VA 23602-6342 |
| Practice Telephone | 7573938766 |
| Mailing Telephone | 7578773132 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129038 | Stephen W Fannin | Internal Medicine | 95 Arch St, Akron, OH 44304-1437 | 2006-08-31 |
| Street Address |
2801 TURNPIKE RD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639687635 | Thomas Byrnes IIi | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-01-12 |
| 1750988291 | Stephanie Egan | Occupational Therapist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2020-10-07 |
| 1013552264 | Zachariah Scott Class | Occupational Therapist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2019-11-12 |
| 1154963262 | Kathryn Paige Daniels | Occupational Therapy Assistant | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2019-10-09 |
| 1124515366 | Nell Fearing King | Speech-Language Pathologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-04-13 |
| 1699279547 | Deborah K Mayes | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-23 |
| 1023512977 | Tilda Sorensen | Occupational Therapist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-23 |
| 1366946378 | Michaela Georgette Mccracken | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-23 |
| 1215431515 | Dee-anna Cormier Staylor | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-21 |
| 1851895072 | Donna Seeland | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392125 | Meighan Noelle Stevens | Psychologist | 1225 Gallia St, Portsmouth, OH 45662-4216 | 2018-10-17 |
| 1639687635 | Thomas Byrnes IIi | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-01-12 |
| 1144833757 | Gregory Williams | Psychologist | 1225 Gallia St, Portsmouth, OH 45662-4216 | 2020-08-25 |
| 1699279547 | Deborah K Mayes | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-23 |
| 1366946378 | Michaela Georgette Mccracken | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-23 |
| 1215431515 | Dee-anna Cormier Staylor | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-21 |
| 1851895072 | Donna Seeland | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-21 |
| 1639673932 | Paula Rinebolt Shirk | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-21 |
| 1598268070 | Barbara Banze | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-12 |
| 1306348099 | Kelley Rice | Psychologist | 2801 Turnpike Rd, Portsmouth, VA 23707-4630 | 2018-03-08 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on STEPHEN DALE FANNIN.
| 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.