SHANTAVIS SHANTRELL FAYSON
NPI 1992466171
Licensed Practical Nurse in Gainesville, FL

Q: What is Shantavis Fayson's NPI number?

The NPI number for Shantavis Fayson is 1992466171. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Shantavis Fayson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shantavis Fayson was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 10, 2022

2802 NE 53RD CT # 194, GAINESVILLE, FL 32609(850) 933-1399 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shantavis Shantrell Fayson NPPES

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

SHANTAVIS SHANTRELL FAYSON (NPI 1992466171) is an individual licensed practical nurse in Gainesville, Florida, licensed in Florida (5242314) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1992466171

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHANTAVIS SHANTRELL FAYSON

Location Address2802 NE 53RD CT # 194Gainesville, FL 32609-2625

Mailing Address2802 Ne 53rd Ct # 194Gainesville, FL 32609-2625 · (850) 933-1399

Phone(850) 933-1399

Sole ProprietorYes

Enumeration DateJanuary 10, 2022

NPPES CertifiedJanuary 10, 2022

✔ NPI 1992466171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · 5242314

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2802 NE 53RD CT # 194, Gainesville, FL 32609

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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 Shantavis Fayson's NPI number?

The NPI number for Shantavis Fayson is 1992466171. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Shantavis Fayson located?

Shantavis Fayson practices at 2802 NE 53rd Ct # 194, Gainesville, FL 32609. The listed phone number is (850) 933-1399.

What is Shantavis Fayson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shantavis Fayson was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.