Active NPI
Dawn M Fassett
- Nursing Care Agency
- Fellsmere, FL
National Provider Identifier
1255540902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- CNA 116270
- Practice address
- 65 Sonrise SQ
Apt. 101
Fellsmere, FL 32948-5350 - Phone
- (772) 571-8953
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | CNA 116270 | FL | Primary |
Addresses
Primary practice location
65 Sonrise SQ
Apt. 101
Fellsmere, FL 32948-5350
Mailing address
65 Sonrise SQ
Apt. 101
Fellsmere, FL 32948-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA 116270 | FL | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255540902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 SONRISE SQ",
"address_2": "APT. 101",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329485350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SONRISE SQ",
"address_2": "APT. 101",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329485350",
"telephone_number": "772-571-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSETT",
"first_name": "DAWN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "CNA 116270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fellsmere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.