FANNY ENRIQUEZ (NPI# 1427681147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427681147 |
| Entity Type | Individual |
| Full Name | FANNY ENRIQUEZ |
| Credential | PA-C |
| Practice Address |
111 Michigan Ave Nw Washington DC 20010-2916 |
| Mailing Address |
Po Box 744785 Atlanta GA 30374-4785 |
| Practice Telephone | 2024764177 |
| Mailing Telephone | 2024765000 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
PA031733 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
111 MICHIGAN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809197 | Jeffrey S Dome | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2005-05-23 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1740881127 | Imtinan Mohammed Barnawi | Student in an Organized Health Care Education/Training Program | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1922609312 | Madison Gogol | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1932700291 | Kimberly Ann Wood | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1376150599 | Alexandra Gervais | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-30 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1093321317 | Melissa Renee Dvorsky | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-22 |
| 1538775515 | Temitope Ajayi | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194253518 | Harrison James Hayward | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2017-05-30 |
| 1659726313 | Dennis Ren | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2016-05-02 |
| 1740675529 | Chisom Agbim | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-03-30 |
| 1932544954 | Rachael Ann Batabyal | Pediatrics | 111 Michigan Ave Nw, Department of Emergency Medicine, Washington, DC 20010-2916 | 2013-05-03 |
| 1275876799 | Elaise Barrett Hill | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-04-03 |
| 1275837114 | Mordechai David Raskas | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2011-01-07 |
| 1386886497 | Brittany Goldberg | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2009-04-03 |
| 1962665042 | Lili Nell Moran | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2008-07-08 |
| 1174715643 | Monika Goyal | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2007-08-17 |
| 1437354131 | Melissa Maria Tavarez | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2007-06-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.