Alexis Shante' Fanning

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4514 Laramie St Unit Ab
Cheyenne, WY 82001-2154

Phone

(307) 638-8182

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

No

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1053151985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 LARAMIE ST UNIT AB",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012154",
            "telephone_number": "307-638-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 LARAMIE ST UNIT AB",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012154",
            "telephone_number": "307-638-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "ALEXIS",
        "middle_name": "SHANTE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Falvey, PT, DPT, GCS, CEEAA
• April L Falzone, PPC
• Family First, P. C.
• Family to Family LLC
• Family Vision Center PC
• Harry Paul Fanning, D.D.S.
• Alexis Fanshier
• Erica Farley, OTRL
• Lynn Susan Farley, D.D.S.
• Sharon Farner

• All providers in Cheyenne, WY
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.