TAWNE FISHBACK (NPI# 1528468501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528468501 |
| Entity Type | Individual |
| Full Name | TAWNE FISHBACK |
| Credential | NNP |
| Practice Address |
729 N Medical Center Dr W Clovis CA 93611-6879 |
| Mailing Address |
1412 Mosaic Way Clovis CA 93619-5156 |
| Practice Telephone | 5599003045 |
| Mailing Telephone | 5593205570 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
95000226 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
729 N MEDICAL CENTER DR W |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881762896 | Eric L Pagenkopf | Orthopaedic Surgery | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2006-11-30 |
| 1841727658 | Sirvard M Kaptryan | Nurse Practitioner | 729 N Medical Center Dr W, 101, Clovis, CA 93611-6879 | 2017-05-11 |
| 1598155202 | Elizabeth Aurea May | Physician Assistant | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2015-02-02 |
| 1538574660 | Clovis Pediatric Group | Pediatrics | 729 N Medical Center Dr W, 201, Clovis, CA 93611-6879 | 2014-06-26 |
| 1740613041 | Joshua Paul Lazarus | Physician Assistant | 729 N Medical Center Dr W, Clovis, CA 93611-6879 | 2013-08-10 |
| 1184885519 | John Edward Tidwell | Orthopaedic Surgery | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2008-06-18 |
| 1326237629 | Christine Marie Card | Nurse Practitioner | 729 N Medical Center Dr W, Suite 205, Clovis, CA 93611-6879 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1164881108 | Ana Lisa Borkowski | Nurse Practitioner | 11234 Anderson St # Mc6700h, Loma Linda, CA 92354-2804 | 2016-02-18 |
| 1598186371 | Colleen Jehning Donovan | Nurse Practitioner | 2051 Marengo St., Nicu, Los Angeles, CA 90033 | 2013-12-23 |
| 1770824740 | Ann Stein | Nurse Practitioner | 757 Medical Plz, Los Angeles, CA 90095-0001 | 2013-03-15 |
| 1699036756 | Ivette Syra Jackson | Nurse Practitioner | 8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804 | 2012-06-06 |
| 1508126251 | Jennie W Chu | Nurse Practitioner | 1000 W Carson Street, Harbor-ucla Medical Center, Neonatology, Department of Pediatrics, Torrance, CA 90502-2004 | 2012-05-29 |
| 1467775908 | Emi Kotoh | Nurse Practitioner | 4650 W. Sunset Blvd Ms #31, Los Angeles, CA 90027 | 2010-03-11 |
| 1598094286 | Ancy Abraham | Nurse Practitioner | 4650 W Sunset Blvd # 31, Los Angeles, CA 90027-6062 | 2009-12-09 |
| 1982734711 | Kathi Salley Randall | Nurse Practitioner | 28141 Belleterre Ave, Moreno Valley, CA 92555-6223 | 2007-03-07 |
| 1134280746 | Deborah Ann Eveland | Nurse Practitioner | 275 West Macarthur Blvd, Oakland, CA 94611 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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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.