KRISTIN CANNON FADAIRO MD
NPI 1710515705
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Kristin Fadairo's NPI number?

The NPI number for Kristin Fadairo is 1710515705. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Kristin Fadairo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Fadairo was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 27, 2020

655 WEST 8TH STREET, PAVILION 4 NORTH, JACKSONVILLE, FL 32209(904) 244-1658 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Mar 27, 2020 (2 updates tracked since 2020).

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About Kristin Cannon Fadairo Md NPPES

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

KRISTIN CANNON FADAIRO MD (NPI 1710515705) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1710515705

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTIN CANNON FADAIROCredential: MD

Location Address655 WEST 8TH STREET, PAVILION 4 NORTHJacksonville, FL 32209

Mailing Address655 West 8th Street, Pavilion 4 NorthJacksonville, FL 32209 · (904) 244-1658

Phone(904) 244-1658

Sole ProprietorNo

Enumeration DateMarch 27, 2020

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1710515705 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.

655 WEST 8TH STREET, PAVILION 4 NORTH, Jacksonville, FL 32209

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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 Kristin Fadairo's NPI number?

The NPI number for Kristin Fadairo is 1710515705. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Kristin Fadairo located?

Kristin Fadairo practices at 655 West 8th Street, Pavilion 4 North, Jacksonville, FL 32209. The listed phone number is (904) 244-1658.

What is Kristin Fadairo'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 Kristin Fadairo was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.