CAROLYN FASNACHT (NPI# 1649712829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649712829 |
| Entity Type | Individual |
| Full Name | CAROLYN FASNACHT |
| Practice Address |
2775 Skyhawk Rd Carbondale IL 62902-1008 |
| Practice Telephone | 6189678306 |
| Mailing Telephone | 6189678306 |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2016-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2775 SKYHAWK RD |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62902-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114200482 | Pamela K. Zeigler | Speech-Language Pathologist | 2880 Wolf Creek Road, Carbondale, IL 62902 | 2011-09-23 |
| 1043504541 | Melanie Wick Singer | Speech-Language Pathologist | 51 Carolyn Drive, #q, Carbondale, IL 62902 | 2011-06-02 |
| 1518286624 | Kaci Moeller | Physical Therapist | 2001e Creekwood, Carbondale, IL 62902 | 2010-05-28 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1942352083 | Damaris Miltenberger Language & Learning Center, Ltd | Speech-Language Pathologist | 301 S. Wall St., Suite B, Carbondale, IL 62902 | 2007-01-17 |
| 1013288968 | Jenny Moss Occupational Therapy Services, Inc. | Early Intervention Provider Agency | 7207 Grassy Rd, Carbondale, IL 62902-0465 | 2012-01-24 |
| 1114482734 | Erin Anderson | Occupational Therapy Assistant | 2595 S Wolf Creek Rd, Carbondale, IL 62902-0572 | 2019-02-07 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| 1659497196 | Carbondale Hs Distraict 165 | Clinic/Center | 330 S Giant City Rd, Carbondale, IL 62902-5042 | 2007-03-22 |
| Find all providers in zip 62902 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703461 | Madeleine Jake Nieslanik | Student in an Organized Health Care Education/Training Program | 757 County Road 101, Carbondale, CO 81623-2183 | 2020-09-01 |
| 1144843459 | Katherine E. Hersberger | Student in an Organized Health Care Education/Training Program | 710 S Illinois Ave Apt 217, Carbondale, IL 62901-2959 | 2020-05-20 |
| 1528680162 | Mitchell Wayne Sanders | Student in an Organized Health Care Education/Training Program | 2350 S Illinois Ave Apt 8b, Carbondale, IL 62903-5977 | 2020-05-16 |
| 1477175446 | Mimi Charter | Student in an Organized Health Care Education/Training Program | 614 S Skyline Dr, Carbondale, IL 62901-2214 | 2020-05-13 |
| 1518493782 | Peter Filip Jr. | Student in an Organized Health Care Education/Training Program | 199 Bittersweet Ln, Carbondale, IL 62903-7829 | 2017-05-10 |
| 1093186637 | Mackenzie Baird | Student in an Organized Health Care Education/Training Program | 1263 Lincoln Dr, Carbondale, IL 62901-4304 | 2015-10-08 |
| 1063767671 | Ryan C Speelman | Student in an Organized Health Care Education/Training Program | 708 W Mill St Apt 301, Carbondale, IL 62901-2693 | 2012-07-19 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1104443258 | Kilmeny Clark | Student in an Organized Health Care Education/Training Program | 300 W Oak St, Carbondale, IL 62901-1400 | 2020-07-05 |
| 1548884398 | Amanda Durham | Student in an Organized Health Care Education/Training Program | 300 W Oak St, Carbondale, IL 62901-1400 | 2020-06-07 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62902 |
Please comment or provide details below to improve the information on CAROLYN FASNACHT.
| 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.