MRS. SHAWANA AVRE FAULK (NPI# 1801168919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801168919 |
| Entity Type | Individual |
| Full Name | MRS. SHAWANA AVRE FAULK |
| Credential | NP-C |
| Practice Address |
522 Owen Dr Fayetteville NC 28304-3432 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4016529787 |
| Mailing Telephone | 8663892727 |
| Mailing Fax Number | 4016529787 |
| Enumeration Date | 2012-02-04 |
| Last Update Date | 2014-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005504 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA | MF2589767 | 01 |
| NC | 7005953 | 05 | |
| NC | BCBSNC | 171PU | 01 |
| NC | RAILROAD MEDICARE | P01243890 | 01 |
| Street Address |
522 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235232091 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2006-09-07 |
| 1255941696 | Sarah Smith Babson | Nurse Practitioner | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2020-07-31 |
| 1235699802 | Emily Harvey | Pharmacist | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2019-03-20 |
| 1508301573 | Candace Edwards | Nurse Practitioner | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2016-12-30 |
| 1184047136 | Amy Laura Espinoza | Nurse Practitioner | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2014-01-28 |
| 1386076164 | Joshua Martin Caviness | Pharmacist | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2013-08-05 |
| 1568809234 | Krunal Choksi | Pharmacist | 522 Owen Dr, Cvs Pharmacy, Fayetteville, NC 28304-3432 | 2013-06-04 |
| 1568701654 | Patricia Aboagye-kumi | Physician Assistant | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2013-02-08 |
| 1619227170 | Stacy Lynne Wade | Pharmacist | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2012-09-12 |
| 1245502483 | Katie Jo Loscheider | Physician Assistant | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2012-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MRS. SHAWANA AVRE FAULK.
| 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.