Active NPI
Tanya Elizabeth Fookes, LMSW
- Social Worker
- Gainesville, FL
National Provider Identifier
1144253683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7768
- Practice address
- 2919 NW 43Rd Ave
Gainesville, FL 32605-1552 - Phone
- (352) 378-5201
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7768 | LA | Primary |
Addresses
Primary practice location
2919 NW 43Rd Ave
Gainesville, FL 32605-1552
Mailing address
2919 NW 43Rd Ave
Gainesville, FL 32605-1552
Phone (352) 378-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7768 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144253683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 NW 43RD AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326051552",
"telephone_number": "352-378-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 NW 43RD AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326051552",
"telephone_number": "352-378-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOKES",
"first_name": "TANYA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "7768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.