MISS ANNIE MICHELE FAGUNDES (NPI# 1891178182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891178182 |
| Entity Type | Individual |
| Full Name | MISS ANNIE MICHELE FAGUNDES |
| Credential | NURSE PRACTITIONER |
| Practice Address |
255 N Herwaldt Dr Fresno CA 93701-2186 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594597300 |
| Practice Fax Number | 5594593750 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95002607 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
255 N HERWALDT DR |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660761 | Simon Francis Dougherty | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2005-12-21 |
| 1609384940 | Family Healthcare Network | Clinic/Center | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2018-01-22 |
| 1982115275 | Andrew Nadir Wickwire | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2017-10-13 |
| 1578004164 | Steven Gunnell | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2017-03-15 |
| 1629529540 | Charles William-wesley Hurd | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2016-10-14 |
| 1871905984 | Veronica L Demary | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2014-05-22 |
| 1255751434 | Christopher J. Cortez | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2014-04-26 |
| 1326478041 | Mary Casner Hudson | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2013-11-15 |
| 1205265964 | Cameron Avon Adain Baker | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2013-11-04 |
| 1609111624 | Jocelyn Chia Lu | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2012-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777394 | Laura Gonzalez | Nurse Practitioner | 4208 N Bain Ave, Fresno, CA 93722-0447 | 2020-10-15 |
| 1740818012 | Yolanda Tizcareno | Nurse Practitioner | 2210 E Illinois Ave Fl 4, Fresno, CA 93701-2125 | 2020-03-31 |
| 1760014443 | Nancy Alice Jordan | Nurse Practitioner | 30 E River Park Pl W Ste 440, Fresno, CA 93720-1547 | 2020-02-10 |
| 1508498924 | Laura Hoffman | Nurse Practitioner | 27577 Tr 203, Fresno, OH 43824 | 2020-02-05 |
| 1619515293 | Lanigail Pangilinan | Nurse Practitioner | 2610 E Nees Ave Apt 109, Fresno, CA 93720-6014 | 2019-12-14 |
| 1205470929 | Zouapa Kalani Vue | Nurse Practitioner | 3137 N Burl Ave, Fresno, CA 93727-8915 | 2019-11-06 |
| 1871136705 | Ademewo Agbebiyi | Nurse Practitioner | 1819 Bravos Manor Ln, Fresno, TX 77545-1467 | 2019-10-23 |
| 1104477447 | Tayler Wilborn | Nurse Practitioner | 1714 Purple Cherry Ln, Fresno, TX 77545-1449 | 2019-09-27 |
| 1669023149 | Jaspreet Kaur Mann | Nurse Practitioner | 2587 S Bundy Dr, Fresno, CA 93727-6588 | 2019-09-25 |
| 1336797091 | Ellen Kahn | Nurse Practitioner | 6251 S Valentine Ave, Fresno, CA 93706-9166 | 2019-08-27 |
| Find all providers in FRESNO | ||||
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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.