Active NPI
Deanne Fanta, DVM
- Special Hospital
- Chattanooga, TN
National Provider Identifier
1528502234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 5804
- Practice address
- 6393 Lee Hwy
Chattanooga, TN 37421-2569 - Phone
- (423) 822-8304
- NPI assigned
- Dec 14, 2016
- 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 |
|---|---|---|---|---|
| Special Hospital | 284300000X | 5804 | TN | Primary |
Addresses
Primary practice location
6393 Lee Hwy
Chattanooga, TN 37421-2569
Mailing address
6393 Lee Hwy
Chattanooga, TN 37421-2569
Phone (423) 822-8304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5804 | Other | TN | STATE BOARD OF VET MED |
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 |
|---|---|---|---|
| 5804 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1528502234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6393 LEE HWY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212569",
"telephone_number": "423-822-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6393 LEE HWY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212569",
"telephone_number": "423-822-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTA",
"first_name": "DEANNE",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "TN",
"license": "5804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF VET MED",
"identifier": "5804",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.