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PAZ AMERICA FANNIN RN
NPI 1720701691
Pediatrics - Pediatric Emergency Medicine in Pace, FL

Active since September 26, 2022PECOS Enrolled

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paz America Fannin Rn NPPES

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

PAZ AMERICA FANNIN RN (NPI 1720701691) is an individual pediatric emergency medicine provider in Pace, Florida, licensed in Florida (RN9431495) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720701691
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NamePAZ AMERICA FANNINCredential: RN
Location Address5637 PEACH DRPace, FL 32571-2775
Mailing Address5637 Peach DrPace, FL 32571-2775 · (801) 885-5802
Phone(801) 885-5802
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 24, 2022
✔ NPI 1720701691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in FL · RN9431495
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9431495 (FL)
5637 PEACH DR, Pace, FL 32571
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paz America Fannin Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163990466
PECOS Enrollment IDI20260505003499
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.

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 Paz Fannin's NPI number?

The NPI number for Paz Fannin is 1720701691. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Paz Fannin located?

Paz Fannin practices at 5637 Peach Dr, Pace, FL 32571. The listed phone number is (801) 885-5802.

What is Paz Fannin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Paz Fannin enrolled in Medicare?

Yes. Paz Fannin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paz Fannin was last updated on September 26, 2022. 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.