MRS. CHANTE SMITH-STEWARD FASON


Address: 6005 Park Ave Ste 630b, Memphis, TN 38119-5226
Phone: 9017671136

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN 1519348 05

Office Location

Street Address 6005 PARK AVE STE 630B
City MEMPHIS
State TN
Zip Code 38119-5226

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38119

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Dataset Information

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.

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