Zene Fawn Fenton, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT2583 Issued in CA

Practice address

2305 Mendocino Ave Ste B
Santa Rosa, CA 95403-3157

Phone

(707) 544-2637

Fax

(707) 544-2088

NPI assigned

Aug 11, 2006

Last updated

Oct 3, 2007By 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

Other names 1

• Miss Zene Fawn Gervais Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1336150515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MENDOCINO AVE",
            "address_2": "A2 #173",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033153",
            "telephone_number": "707-544-2637",
            "fax_number": "707-544-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 MENDOCINO AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033157",
            "telephone_number": "707-544-2637",
            "fax_number": "707-544-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "ZENE",
        "middle_name": "FAWN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OT-0025830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZENE",
            "last_name": "GERVAIS",
            "middle_name": "FAWN",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zhen Zhou Feng, M.D.
• Wendy Fennell
• Julie Frances Fennimore, PSY.D
• Reece Fenning, MD, MPH
• Sarah Elizabeth Fenske, MA, CCC-SLP
• James Nash Ferandell, LCSW
• Pennee Karrie Ferda
• Brian Ferguson, ASSOCIATES
• Monica O Ferguson, MD
• Sarina L Ferguson, PT

• Hand Occupational Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.