Maliesha Fant

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4017688 Issued in KY

Practice address

9004 John Paul CT
Louisville, KY 40229-1537

Phone

(502) 528-9509

NPI assigned

Oct 10, 2025

Last updated

Oct 10, 2025By 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

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": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1346115060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 JOHN PAUL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402291537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 JOHN PAUL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402291537",
            "telephone_number": "502-528-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "MALIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "4017688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousheng Fang, MD
• Allen Bosquet Fangman
• Kristopher Zephinar Fannin, MD
• Joy Fanning
• Kimberly Adelle Fanning
• Andrea Fante, MS OTR/L
• Far Journeys LLC
• Faraday Kentucky, LLC (Faraday Health - Louisville, KY)
• Ian Farah, CRNA
• Rochelle Farah, CRNA

• Licensed Practical Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.