MRS. CHANTE SMITH-STEWARD FASON (NPI# 1902966765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902966765 |
Entity Type | Individual |
Full Name | MRS. CHANTE SMITH-STEWARD FASON |
Other Name | MRS. CHANTE FASON |
Credential | FNP, APRN |
Practice Address |
6005 Park Ave Ste 630b Memphis TN 38119-5226 |
Practice Telephone | 9017671136 |
Practice Fax Number | 9017670436 |
Mailing Telephone | 9017671136 |
Mailing Fax Number | 9017670436 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000007696 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000007696 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1519348 | 05 |
Street Address |
6005 PARK AVE STE 630B |
City | MEMPHIS |
State | TN |
Zip Code | 38119-5226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902991706 | Kenny Nmi Terry | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-04 |
1265030175 | Clifton Mcrae Allred | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2020-10-13 |
1841787694 | Dennis Lamar Painter I | Psychologist | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2018-04-17 |
1356850283 | Sarah Vogelfanger | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-22 |
1174032213 | Michael David Hobbs | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-20 |
1043752793 | Camillia Haddix | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2016-11-12 |
1679716013 | Nga Huynh | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2009-04-15 |
1952555872 | Rsk Enterprises LLC | Social Worker | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2008-11-05 |
1982855763 | First Pharmacy Services of Park Ave Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2008-10-10 |
1639265085 | Deronda Vynette Terry | Counselor | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
Find all providers in zip 38119 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
Find all providers in MEMPHIS |
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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.