David Fawks, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP1799382 Issued in FL

Practice address

1790 E Venice Ave
Suite 204
Venice, FL 34292-3191

Phone

(941) 488-8884

Fax

(941) 488-5554

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Psychiatric Services IncGroup PAC ID 8224113584, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Psychiatric Services Inc

  • Psychiatry Physician
  • Venice, FL
  • NPI 1932195187

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Gulf Coast Hma Physician Management LLC

  • Podiatrist
  • Venice, FL
  • NPI 1932470648
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234051200000",
    "number": "1922094937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWKS",
        "first_name": "DAVID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2009-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1799382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "Y7307",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2080449",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7305448",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304079800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "283694-000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00068887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arash Farahvar, MD
• Ahmed Omer Farooq, MD
• Lisa Farthing, SLP
• Joanne J Fava, DC
• Fawcett Memorial Hospital
• Jacqueline Zighera Fay, O.D.
• Javeria Fayyaz
• Nicole Marie Fazio
• Maria De Los Angeles Felicier, MS CCC/SLP
• Scott D Fell, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.