Amanda Fofana

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6396 McLeod Dr
9
Las Vegas, NV 89120-4428

Phone

(702) 912-0600

Fax

(702) 912-0601

NPI assigned

Jul 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1043627920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 VEGAS DR",
            "address_2": "APT # 2120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891087707",
            "telephone_number": "760-646-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR",
            "address_2": "9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204428",
            "telephone_number": "702-912-0600",
            "fax_number": "702-912-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focused Vision Care, LLC
• Fodah Professional Limited Liability Company
• Jessica Foerch
• Chantal Foerster
• Lisa M. Foerster, PSY.D.
• Rosemary Fofanah, CNA
• Christina Fogarty, LCSW
• Vanessa Fogelbach
• Raven Fogg
• Steve G Foggia, RPH

• Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.