Fertility Phoenix LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FERTILITY PHOENIX LLC

Practice address

16192 Coastal Hwy
Lewes, DE 19958-3608

Phone

(302) 553-2643

NPI assigned

Mar 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Knox

Title

Director

Phone

(302) 553-2643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1861259970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16192 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583608",
            "telephone_number": "302-553-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16192 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583608",
            "telephone_number": "302-553-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-553-2643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Feist, MSW
• Madeleine Rose Feletto, RN
• Stephen George Fendt, PHARMD
• Helen Jean Fenerty Lange, LCSW
• Mary Rita Fennell, LCSW
• Gail Field, RN
• Devona Fields
• Rachel Fields, AGACNP-BC
• Heidi Ann Fink, RN
• Anna Michelle Finkle, MS, OTR/L, CHT

• Clinical Medical Laboratory in Lewes, DE
• Providers in Lewes, DE by specialty
• Clinical Medical Laboratory in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.