Linda Fagan, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN101672 Issued in GA

Practice address

1113 E Oglethorpe Hwy
Hinesville, GA 31313-1200

Phone

(912) 876-2173

Fax

(912) 368-8033

NPI assigned

Jun 12, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1205878428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131200",
            "telephone_number": "912-876-2173",
            "fax_number": "912-368-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131200",
            "telephone_number": "912-876-2173",
            "fax_number": "912-368-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "LINDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN101672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000834897D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rainleen Francese Etienne
• Austin Eubanks, DPT
• Tomeka Lashun Evans, FNP-C
• Symone Alicia Everson
• Yvette Pieniadz Ewens, PT, DPT
• Dellaann Faircloth, RN
• Stacy Faison, LMSW
• Tyrese Rashad Faison, BCBA
• Michelle Bernette Fashaw
• Sameisha Fate

• Women's Health Nurse Practitioner in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.