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

Last updated

Feb 8, 2009By the provider in NPPES

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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

  dba Gulf Coast Foot and Ankle

  • 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": [],
    "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.