Laurie Fashakin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102832 Issued in FL

Practice address

800 N Maitland Ave Ste 202
Maitland, FL 32751-4499

Phone

(407) 389-2020

Fax

(407) 389-2021

NPI assigned

May 23, 2006

Last updated

Aug 18, 2014By 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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Lake Dermatology Center PAGroup PAC ID 6709853088, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.83 of 100Reported as individual

Quality

81.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Sand Lake Dermatology Center, P.a.

  • Specialist
  • Orlando, FL
  • NPI 1558315234
  Medicare reassignment Care Compare group
• Jewett Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1821097437
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1275588063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W SR 434",
            "address_2": "STE 210",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504981",
            "telephone_number": "407-332-8080",
            "fax_number": "407-260-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514499",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHAKIN",
        "first_name": "LAURIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Everett, RMHCI, PH.D., MA
• Bria Faison
• Maite Noemi Falcon Diaz, FNP-C
• Family Care Counseling Center of Orlando, Inc
• Emer Ann Farrelly, L.M.T
• Amber Lee Fasula, PSY.D., BCN
• Patrick C. Fattouch, MD
• Jamie Marie Ellison Federico, M.ED., ED.S., NCC
• Felice Center for Pediatric Rehabilitation - Maitland
• Felice Center for Pediatric Rehabilitation, Inc.

• Physician Assistant in Maitland, FL
• Providers in Maitland, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.