Eva Dennie Fain, RN CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R32762 Issued in NM

Practice address

11316 Biscayne Dr NE
Albuquerque, NM 87111-2612

Phone

(303) 704-1874

NPI assigned

Dec 23, 2016

Last updated

Dec 23, 2016By 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": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1952846156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11316 BISCAYNE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112612",
            "telephone_number": "303-704-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 BISCAYNE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112612",
            "telephone_number": "303-704-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "EVA",
        "middle_name": "DENNIE",
        "credential": "RN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "R32762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Fagan, LCSW
• Melissa L Fagan, LMHC
• Brian W Fahey, PH.D.
• Dena Fahlquist, AUD
• Jennifer Hope Failla, LPCC
• Vivian Lashawn Fain, LPCC
• Joanna Fair, M.D., PH. D.
• Isabel Faircloth, CRNA
• Kristin J Fairey, MA LPCC
• Jaymes Vincent Fairfax-Columbo, JD/PHD

• Diabetes Educator Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diabetes Educator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.