COURTNEY LYNNE FAGAN (NPI# 1184183642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184183642 |
Entity Type | Individual |
Full Name | COURTNEY LYNNE FAGAN |
Credential | SLP-A |
Practice Address |
8225 Fl-54 New Port Richey FL 34655 |
Mailing Address |
4271 Ellinwood Blvd Palm Harbor FL 34685-2637 |
Practice Telephone | 7274583902 |
Mailing Telephone | 7274583902 |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
3774 | FL | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972098697 | Courtney Fagan | Registered Nurse | 3805 Spring Street, Bldg A - Suite 311, Racine, WI 53405-1600 | 2018-06-25 |
Street Address |
8225 FL-54 |
City | NEW PORT RICHEY |
State | FL |
Zip Code | 34655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
1962808196 | Zounds Hearing of Florida | Hearing Aid Equipment | 5312 Little Rd, New Port Richey, FL 34655 | 2014-11-17 |
Find all providers in zip 34655 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811130933 | Jennifer Jo Moore | Specialist/Technologist | 7324 Humboldt Ave, New Port Richey, FL 34655-3207 | 2009-04-20 |
1194021360 | Laura Drew | Specialist/Technologist | 7633 Cita Ln, Suite 101, New Port Richey, FL 34653-6219 | 2011-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617461 | Gabriela Crespi | Specialist/Technologist | 13865 Sw 80th St, Miami, FL 33183-3025 | 2020-10-17 |
1891393898 | Kayli Alexei Chung | Specialist/Technologist | 17010 Sw 139th Pl, Miami, FL 33177-2720 | 2020-10-12 |
1831796507 | Maggie Christine Miller | Specialist/Technologist | 3670 Nw 83rd Ln, Sunrise, FL 33351-1132 | 2020-10-06 |
1790392355 | Ashley Elyse Stept | Specialist/Technologist | 12001 Nw 50th Dr, Coral Springs, FL 33076-3522 | 2020-09-28 |
1851908438 | Maria Medinilla | Specialist/Technologist | 4064 Sw 95th Ave, Miami, FL 33165-5240 | 2020-09-28 |
1891301271 | Carlos Rene Alicea Jr. | Specialist/Technologist | 13574 Village Park Dr Ste Suite205, Orlando, FL 32837-7689 | 2020-09-21 |
1962018739 | Briana Luckie Savastano | Specialist/Technologist | 111 E Lake Mary Blvd Ste 113, Sanford, FL 32773-7111 | 2020-09-17 |
1700490851 | Katiria Mary Santana Suarez | Specialist/Technologist | 299 Longley Dr Unit B, Port Charlotte, FL 33954-1142 | 2020-09-05 |
1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
1184237729 | Jorja Ruby | Specialist/Technologist | 5140 Gate Pkwy Apt 1108, Jacksonville, FL 32256-0259 | 2020-08-24 |
Find all providers with the same taxonomy |
City | NEW PORT RICHEY |
Zip Code | 34655 |
Please comment or provide details below to improve the information on COURTNEY LYNNE FAGAN.
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.