Rebecca Fant, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP110620 Issued in TX

Practice address

6002 Slide Rd # D24
Lubbock, TX 79414-4310

Phone

(806) 761-0450

Fax

(806) 796-7259

NPI assigned

Apr 20, 2006

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1114982030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "SUITE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0707",
            "fax_number": "806-761-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SLIDE RD # D24",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144310",
            "telephone_number": "806-761-0450",
            "fax_number": "806-796-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP110620",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110620",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "617399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145684002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew G. Faniku, MD
• Josephine Faniku, FNP-C, PMHNP
• Oluwatobi Ayodele Faniyi, MD
• Fannin County Hospital Authority (Windmill Village Rehabilitation & Care Center)
• Dena Kaye Fant, OTR
• Ashraf Farag, MD
• Mirana Farag
• Malak Faragallah, MD
• Mohaad Amar Faraj
• Fare' Health Centers, LLC (Radiant Health Centers)

• Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.