Active NPI
Fawn Workman, FNP-C, PMHNP- BC
- Psychiatric/Mental Health Nurse Practitioner
- Forest, VA
National Provider Identifier
1184016859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024172310
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172310 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hello Hope, LLC | Current | Accepting new patients | |
| Fawn Workman NP LLC | Family | Current | 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.
-
- Multi-Specialty Clinic/Center
- Forest, VA
- NPI 1609612993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.