Christina Fawole, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9482457 Issued in FL

Practice address

1340 N Hancock Rd
Clermont, FL 34711-5952

Phone

(352) 394-1150

Fax

(352) 394-1560

NPI assigned

Nov 11, 2016

Sex

Female

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 1

Other names 1

• Christina Dada Former name

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Advanced Wound Care, LLC

  • Wound Care Registered Nurse
  • Tampa, FL
  • NPI 1356036354
  Medicare reassignment Care Compare group NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962
  Medicare reassignment NPD
• Graceland Health Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Clermont, FL
  • NPI 1033832696
  NPD
• Pulmonary Group of Central Florida, LLC

  • Pulmonary Disease Physician
  • Leesburg, FL
  • NPI 1346409802
  NPD (past)
• Emergency Medical Specialists, II, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1689004863
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1962944660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N HANCOCK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115952",
            "telephone_number": "352-394-1150",
            "fax_number": "352-394-1560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Oak St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347416609",
            "country_code": "US",
            "telephone_number": "407-653-8044",
            "fax_number": "833-856-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWOLE",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9482457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112733100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikayla Elaine Farnham
• Shawna Farrar, PT
• Daniel Farrell
• Hina Farrukh, MD
• Paul Faucher
• FCHR PA (Four Corners Health & Rehabilitation)
• Federal Bureau of Prisons
• Danielle Fedorovich, MA, CCC/SLP
• Christeena Fehling, PA-C
• Feiner Plastic Surgery, LLC

• Family Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.