Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMBERLY FAZENBAKER NP
NPI 1134026602
Student in an Organized Health Care Education/Training Program in Cumberland, MD

Q: What is Kimberly Fazenbaker's NPI number?

The NPI number for Kimberly Fazenbaker is 1134026602. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Q: What is Kimberly Fazenbaker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 20, 2026

1050 W INDUSTRIAL BLVD STE 17, CUMBERLAND, MD 21502(240) 964-9300 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kimberly Fazenbaker Np NPPES

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

KIMBERLY FAZENBAKER NP (NPI 1134026602) is an individual student in an organized health care education/training program in Cumberland, Maryland and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1134026602

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY FAZENBAKERCredential: NP

Location Address1050 W INDUSTRIAL BLVD STE 17Cumberland, MD 21502-4331

Mailing Address853 Saint Johns Rock RdFrostburg, MD 21532-4320 · (240) 522-5939

Phone(240) 964-9300

Sole ProprietorNo

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1134026602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1050 W INDUSTRIAL BLVD STE 17, Cumberland, MD 21502

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Other Providers at the Same Location NPPES 4

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

JEREMY R HUNT CRNP

Nurse Practitioner

1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502

Allegany County (240) 964-9300

JEREMY STEWARD CRNP

Nurse Practitioner

1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502

Allegany County (240) 964-9300

MRS. MICHELE WAGONER CRNP

Nurse Practitioner (Family)

1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502

Allegany County (240) 964-9300

MRS. LEXIE CATHERINE GRIMM JACKOWSKI PA

Physician Assistant

1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502

Allegany County (240) 964-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fazenbaker's NPI number?

The NPI number for Kimberly Fazenbaker is 1134026602. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Where is Kimberly Fazenbaker located?

Kimberly Fazenbaker practices at 1050 W Industrial Blvd Ste 17, Cumberland, MD 21502. The listed phone number is (240) 964-9300.

What is Kimberly Fazenbaker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Fazenbaker was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.