Kathleen Mary Fanning

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA101214 Issued in FL

Practice address

7803 Riverwood Oaks Dr
Riverview, FL 33578-8633

Phone

(630) 244-4127

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1083425284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 RIVERWOOD OAKS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788633",
            "telephone_number": "630-244-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 RIVERWOOD OAKS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788633",
            "telephone_number": "630-244-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA101214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith's Chosen Hair Repair LLC (Hair Loss Solutions)
• Christopher Fama Jr., MD
• Family Medical Care of Riverview PA
• Family of Angels LLC
• Family Practice Associates of Riverview LLC
• Arthur Michael Farina Jr., APRN, FNP-C
• Julio Cesar Farinas Carmona, APRN
• Noor Fatima, M.D
• Steven F Faulkner, CRNA
• Aeryn Featherston

• Massage Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.