Individual provider Active NPI

Carline Alvares Fanfan

  • Community Health Registered Nurse
  • Nashville, TN
National Provider Identifier
1043413123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000105065 Issued in TN
Practice address
224 Oriel Ave
Nashville, TN 37210-4910
Phone
(615) 862-7297
Fax
(615) 880-2194
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000105065 TN Primary

Addresses

Primary practice location

224 Oriel Ave
Nashville, TN 37210-4910

Mailing address

103 Lincoln LN
Smyrna, TN 37167-7216
Phone (615) 862-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN0000105065TNMDCommunity Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043413123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LINCOLN LN",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371677216",
            "telephone_number": "615-862-7940",
            "fax_number": "615-880-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ORIEL AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104910",
            "telephone_number": "615-862-7297",
            "fax_number": "615-880-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANFAN",
        "first_name": "CARLINE",
        "middle_name": "ALVARES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000105065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.