Bria M Favors, RN-BSN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

452986 Issued in OH

Practice address

4564 Whitmore LN
Fairfield, OH 45014-8557

Phone

(513) 544-5882

NPI assigned

Jun 6, 2019

Reactivated

Mar 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1194384842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 WHITMORE LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148557",
            "telephone_number": "513-544-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 WHITMORE LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148557",
            "telephone_number": "513-544-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVORS",
        "first_name": "BRIA",
        "middle_name": "M",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "deactivation_date": "2020-03-05",
        "reactivation_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "452986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mardi Kay Fallon, LPCC-S
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• Aric Ray Faulkner, CCP
• Dustin Mark Faulkner, PC
• FCC Associates
• Douglas E Feeney, MD
• Amber Feix
• Megan Ferrell
• Anne Marie Fetick

• Pediatric Registered Nurse in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Pediatric Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.