Dominique Fairbank, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

RN588559 Issued in CA

Practice address

9029 Sutters Gold Dr
Sacramento, CA 95826-4035

Phone

(916) 369-6943

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1700227089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 SUTTERS GOLD DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264035",
            "telephone_number": "916-369-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 SUTTERS GOLD DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264035",
            "telephone_number": "916-369-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANK",
        "first_name": "DOMINIQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "RN588559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen R Faiola, ASW
• Fair Housing Management LLC
• Fair Oaks Recovery Center, LLC (Fair Oaks Recovery Center)
• David Brian Fair, DDS
• Marcus Fair
• Nancy Fairchild-Schwefel, OTR
• Stephanie Tuesday Fairchild
• Mehlika Briana Faire
• Taylor Faires
• Nathan Fairman, MD

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.