Ivanna Fux Kahn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA59692 Issued in CA

Practice address

85033 Majestic Walk Blvd
Fernandina Beach, FL 32034-3871

Phone

(910) 264-4123

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

Yes

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1356918627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 FLEETING JOYS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136642",
            "telephone_number": "858-775-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85033 MAJESTIC WALK BLVD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343871",
            "telephone_number": "910-264-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUX KAHN",
        "first_name": "IVANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Foote, PHARMD
• Virginia Wall Foxworth, LMHC
• Nicole Frazee-Stewart, PTA
• Randall B Fulford, PA-C
• Fuller Health & Wellness, LLC
• Caroline Aline Garner
• Steven A Garrett, DMD
• Robin N Gasparini, DNP, APRN, ACNS, BC
• Christina Gaudiana, MS
• Michael Adam Gebel, M.D.

• Physician Assistant in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.