REBECCA FANT (NPI# 1114982030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114982030 |
| Entity Type | Individual |
| Full Name | REBECCA FANT |
| Credential | FNP |
| Practice Address |
6002 Slide Rd # D24 Lubbock TX 79414 |
| Mailing Address |
5219 City Bank Pkwy Suite 35 Lubbock TX 79407-3544 |
| Practice Telephone | 8067610450 |
| Practice Fax Number | 8067967259 |
| Mailing Telephone | 8067610707 |
| Mailing Fax Number | 8067610708 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 617399 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145684002 | 05 |
| Street Address |
6002 SLIDE RD # D24 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270466 | Honey Michelle Smith | Nurse Practitioner | 6002 Slide Rd # D24, Lubbock, TX 79414-4310 | 2018-10-10 |
| 1174976716 | Michelle Phillips | Nurse Practitioner | 6002 Slide Rd # D24, Lubbock, TX 79414 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027989 | Stephanie S Brown | Nurse Practitioner | 4511 University Ave Ste B, Lubbock, TX 79413-3725 | 2020-03-09 |
| 1164067393 | Geriatric Telemedicine and Oncall Consultants LLC. | Nurse Practitioner | 222 Genoa Ave, Lubbock, TX 79416-1708 | 2019-11-12 |
| 1033674932 | Kimberly Melcher | Nurse Practitioner | 3601 4th Ortho, Lubbock, TX 79430-0001 | 2019-02-05 |
| 1770020703 | Patrick Joe Ochoa | Nurse Practitioner | 2129 57th St, Lubbock, TX 79412-2625 | 2017-01-29 |
| 1770909665 | Jennifer Skero | Nurse Practitioner | 10208 Quaker Ave, Lubbock, TX 79424-8394 | 2014-03-15 |
| 1346547627 | Shirley Ann Mcreynolds | Nurse Practitioner | 6034 68th St, Lubbock, TX 79424-2933 | 2011-02-22 |
| 1659301471 | Traci Rodriguez | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-04 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1063478527 | Kimberly Billingsley | Nurse Practitioner | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2006-04-25 |
| 1053377531 | Melinda Chavez | Nurse Practitioner | 4321 Marsha Sharp Freeway, Door #1, Lubbock, TX 79407-2504 | 2006-04-25 |
| Find all providers in LUBBOCK | ||||
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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.