Shabnam Fard, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9332371 Issued in FL

Practice address

283 Cranes Roost Blvd Ste 111
Altamonte Springs, FL 32701-3437

Phone

(407) 990-1010

Fax

(407) 536-5699

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1184000168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CRANES ROOST BLVD STE 111",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013437",
            "telephone_number": "407-990-1010",
            "fax_number": "407-536-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CRANES ROOST BLVD STE 111",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013437",
            "telephone_number": "407-990-1010",
            "fax_number": "407-536-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARD",
        "first_name": "SHABNAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9332371",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9332371",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9332371",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9332371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Podiatry of Central Florida PA
• Family Podiatry of Central Florida PA
• Family2Family Services LLC
• Yun Fan, NP
• Cameron Fannon, DC
• Sadaf Fareed
• Manuel Faria, DC NMD MD DIPL AC
• Anastasia Farmakis, D.O.
• Gerald Farmer, M.D.
• Ernest Feigenbaum, MS, RMHCI

• Nurse Practitioner in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.