HELEN FANTA MD
NPI 1003619362
Student in an Organized Health Care Education/Training Program in Lutz, FL

Active since March 31, 2025PECOS Enrolled
21808 STATE ROAD 54, LUTZ, FL 33549(813) 922-8621 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Helen Fanta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELEN FANTA MD (NPI 1003619362) is an individual student in an organized health care education/training program in Lutz, Florida and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003619362
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHELEN FANTACredential: MD
Location Address21808 STATE ROAD 54Lutz, FL 33549-6923
Mailing Address21808 State Road 54Lutz, FL 33549-6923 · (813) 922-8621
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1003619362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

21808 STATE ROAD 54, Lutz, FL 33549

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Helen Fanta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
21808 STATE ROAD 54
LUTZ, FL 33549
Counselor (Mental Health)
21808 STATE ROAD 54
LUTZ, FL 33549
Social Worker (Clinical)
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Nurse Practitioner (Psychiatric/Mental Health)
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003619362, enumerated as an "individual" on March 31, 2025.

The provider is located at 21808 STATE ROAD 54 LUTZ, FL 33549 and the phone number is (813) 922-8621.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.