Active NPI
Stephanie Diane Fannin, RN, BSN, CCM
- Case Manager/Care Coordinator
- McKinney, TX
National Provider Identifier
1740770338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 669441
- Practice address
- 3191 Medical Center Dr Apt 14106
McKinney, TX 75069-1679 - Phone
- (214) 799-9684
- NPI assigned
- May 18, 2018
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 669441 | TX | Primary |
Addresses
Primary practice location
3191 Medical Center Dr Apt 14106
McKinney, TX 75069-1679
Mailing address
3191 Medical Center Dr Apt 14106
McKinney, TX 75069-1679
Phone (214) 799-9684
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669441 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1740770338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 MEDICAL CENTER DR APT 14106",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691679",
"telephone_number": "214-799-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 MEDICAL CENTER DR APT 14106",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691679",
"telephone_number": "214-799-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNIN",
"first_name": "STEPHANIE",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "RN, BSN, CCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "669441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.