Individual provider Active NPI

Fawn Workman, FNP-C, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest, VA
National Provider Identifier
1184016859
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024172310 Issued in VA
Practice address
14805 Forest Rd Ste 107a
Forest, VA 24551-3997
Phone
(434) 260-3380
Fax
(434) 302-9638
NPI assigned
Mar 4, 2015
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172310 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172310 VA Primary

Addresses

Primary practice location

14805 Forest Rd Ste 107a
Forest, VA 24551-3997

Mailing address

14805 Forest Rd Ste 107a
Forest, VA 24551-3997
Phone (434) 260-3380

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172310VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hello Hope, LLC CurrentSince Jul 7, 2024 Accepting new patients
Fawn Workman NP LLC Family CurrentSince Jul 17, 2022 Accepting new patients

Locations

14805 Forest Rd
Ste 107A
Forest, VA 24551
Phone (434) 260-3380

21430 Timberlake Rd
#315
Lynchburg, VA 24502

22174 Timberlake Rd
Ste D
Lynchburg, VA 24502
Phone (434) 525-9006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1184016859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 FOREST RD STE 107A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245513997",
            "telephone_number": "434-260-3380",
            "fax_number": "434-302-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 FOREST RD STE 107A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245513997",
            "telephone_number": "434-260-3380",
            "fax_number": "434-302-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "FAWN",
        "credential": "FNP-C, PMHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172310",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.