DAVID FAWKS (NPI# 1922094937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922094937 |
Entity Type | Individual |
Full Name | DAVID FAWKS |
Credential | ARNP |
Practice Address |
1790 E Venice Ave Suite 204 Venice FL 34292-3191 |
Practice Telephone | 9414888884 |
Practice Fax Number | 9414885554 |
Mailing Telephone | 9414888884 |
Mailing Fax Number | 9414885554 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2009-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP1799382 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MAGELLAN | 283694-000 | 01 |
FL | CIGNA | 2080449 | 01 |
FL | AETNA | 7305448 | 01 |
FL | RAILROAD MEDICARE | P00068887 | 01 |
FL | 304079800 | 05 | |
FL | BCBS FLORIDA | Y7307 | 01 |
Street Address |
1790 E VENICE AVE SUITE 204 |
City | VENICE |
State | FL |
Zip Code | 34292-3191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871589028 | David M Donahue | Psychiatry & Neurology | 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 | 2005-09-23 |
1962859520 | Executive Counseling Solutions, LLC | Social Worker | 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 | 2016-05-24 |
1467845644 | First Option Chiropractic LLC | Chiropractor | 1790 E Venice Ave, Suite 102, Venice, FL 34292-3191 | 2015-03-11 |
1043655152 | Catherine Eleanor Swift-verly | Acupuncturist | 1790 E Venice Ave, Venice, FL 34292-3191 | 2013-05-02 |
1528311461 | Gerald Lynn Horton | Social Worker | 1790 E Venice Ave, Ste 204, Venice, FL 34292-3191 | 2012-10-16 |
1487968996 | Rebecca L Rand | Counselor | 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 | 2010-07-27 |
1659415321 | Elwira Ewa Kulawik | Chiropractor | 1790 E Venice Ave, Suite 102, Venice, FL 34292-3191 | 2007-02-16 |
1932195187 | Cornerstone Psychiatric Services Inc | Nurse Practitioner | 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
Find all providers in zip 34292 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710018932 | Michele Nelson Privette | Nurse Practitioner | 195 Center Rd, Venice, FL 34285-5572 | 2007-03-08 |
1932195187 | Cornerstone Psychiatric Services Inc | Nurse Practitioner | 1790 E Venice Ave, Suite 204, Venice, FL 34292-3191 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DAVID FAWKS.
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.