JUSTIN FANTAZIER (NPI# 1568915312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568915312 |
| Entity Type | Individual |
| Full Name | JUSTIN FANTAZIER |
| Practice Address |
1133 Culbert Dr Marion VA 24354-4211 |
| Practice Telephone | 2767066707 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
001231585 | VA | Nursing Service Providers |
| Street Address |
1133 CULBERT DR |
| City | MARION |
| State | VA |
| Zip Code | 24354-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051948 | Caitlin Diley | Registered Nurse | 16 Logan Ln, Fishersville, VA 22939-2039 | 2020-07-29 |
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1275168809 | Isabel A Butler | Registered Nurse | 223 Purple Martin Ln, Suffolk, VA 23435-3329 | 2020-03-04 |
| 1336794049 | Michelle D Wade | Registered Nurse | 4681 Desert Rd, Suffolk, VA 23434-7965 | 2019-08-08 |
| 1063065373 | Keith Hart | Registered Nurse | 1101 E Marshall St Ste 1-030, Richmond, VA 23298-5048 | 2019-07-17 |
| 1811464688 | Elizabeth Page Fauber Davis | Registered Nurse | 35 S Inglewood Pl, Fishersville, VA 22939-2121 | 2018-10-30 |
| 1255814190 | Tammy Hurley | Registered Nurse | 2484 Convict Hollow Rd, Grundy, VA 24614-5393 | 2018-09-06 |
| 1174019251 | Robin Anne Lee | Registered Nurse | 300 Mt Clement Park Ste C, Tappahannock, VA 22560-5098 | 2018-07-02 |
| 1821450180 | Barbara Ann Ware | Registered Nurse | 27122 Underhill Point Rd, Onancock, VA 23417-3342 | 2016-03-25 |
| 1497169197 | Jacob Cody Beach | Registered Nurse | 1235 Rosemary Ln, Danville, VA 24541-4151 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
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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.