RICKEY SAM FAUVOR (NPI# 1295896835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295896835 |
| Entity Type | Individual |
| Full Name | MR. RICKEY SAM FAUVOR |
| Other Name | MR. RICKEY SAM VETKOS (Former Name) |
| Gender | Male |
| Practice Address | 2512 N Stokesberry Pl Ste 102 Meridian ID 83646-1135 |
| Practice Telephone | 2082293238 |
| Practice Fax Number | 2088804245 |
| Mailing Address | 1939 E Burnside St Portland OR 97214-1535 |
| Mailing Telephone | 5032336141 |
| Mailing Fax Number | 5032332889 |
| Certification Date | 2021-01-18 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-01-18 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA3089 | ID | Speech, Language and Hearing Service Providers | |
| N | 237700000X | Hearing Instrument Specialist | HAS-P-916188 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 82-3793314 | MEDICAID | |
| ID | INSURANCE | 82-3793314 | Other |
| Street Address | 2512 N STOKESBERRY PL STE 102 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548859101 | Everything Hearing, LLC · Everything Hearing, LLC | Clinic/Center · Hearing and Speech | 2512 N Stokesberry Pl Ste 102, Meridian, ID 83646-1135 | 2021-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith · Jason Paul Juhasz | Nurse Practitioner · Family | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. · Meridian Meadows Transitional Care | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center · Dental | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor · Addiction (Substance Use Disorder) | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center · Dental | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. · Finding Home Medical Services | Clinic/Center · Multi-Specialty | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191615 | Alderson Audiology LLC | 943 W Overland Rd # 116, Meridian, ID 83642-6541 | 2020-04-01 | |
| 1649819756 | Kevin Horne | 750 S Progress Ave, Meridian, ID 83642-4821 | 2020-01-06 | |
| 1548802796 | Kenneth Jake Hammon | 2203 Highway 39 N Ste 3, Meridian, MS 39301-2609 | 2019-10-09 | |
| 1235603630 | Nathan Scott West | 3330 N Meridian Rd, Meridian, ID 83646-6065 | 2019-01-18 | |
| 1336592732 | Gena Paige | 2203 Highway 39 N, Suite 3, Meridian, MS 39301-2609 | 2016-07-20 | |
| 1306121934 | Jesse Dean Aldous | 750 S Progress Ave Ste 105, Meridian, ID 83642-4822 | 2011-10-14 | |
| 1265729941 | Theon Walley | 1417 23rd Ave, Meridian, MS 39301-4024 | 2011-07-01 | |
| 1447577135 | Donald Ray Deardorff | 1116 E Grand Canyon St, Meridian, ID 83646-3662 | 2010-04-21 | |
| 1356979496 | Leslie Milliken | 943 W Overland Rd # 116, Meridian, ID 83642-6541 | 2020-04-01 | |
| 1528600756 | Joseph Whatley Eubanks | 2203 Highway 39 N Ste 3, Meridian, MS 39301-2609 | 2019-10-09 | |
| Find all providers in MERIDIAN | ||||
| City | MERIDIAN |
| Zip Code | 83646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447737200 | Rickey Leyva · Rickey Mcgee | Behavior Technician | 9481 Bayshore Dr Nw Ste 201, Silverdale, WA 98383-8378 | 2018-07-24 |
| 1093353963 | Sherie Fauvor | Behavior Technician | 1652 W Texas St, Suite 244, Fairfield, CA 94533-6066 | 2019-12-11 |
| 1174779839 | Alison Rickey Trumpore · Alison Rickey | Speech-Language Pathologist | 2474 E Joyce Blvd, Fayetteville, AR 72703-4519 | 2008-08-13 |
| 1588837421 | Rickey Charles Mays Jr. · Rickey Charles Mays Jr. | Nurse Practitioner · Acute Care | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2008-04-11 |
| 1073600474 | Janet L Anspach Rickey · Janet Anspach Rickey Pt | Physical Therapist | 30996 Old Hansville Rd Ne, Kingston, WA 98346-9618 | 2006-10-06 |
| 1447420385 | Rickey Dale Carrow · Rickey Dale Carrow | Specialist · Prosthetics Case Management | 168 Jefferson Rd., Pinetown, NC 27865-9463 | 2008-03-06 |
| 1982945861 | Rickey Barnes | Pharmacist | 684 E Hwy 50, Clermont, FL 34711-3184 | 2013-03-02 |
| 1750736351 | Rickey J Sabbatini Jr. | Counselor · Addiction (Substance Use Disorder) | 285 4th St, Woodland, CA 95695 | 2016-05-02 |
| 1417309824 | Rickey Logan Jr. | Nurse Practitioner · Pediatrics, Critical Care | 550 1st Ave, New York, NY 10016-6402 | 2016-07-08 |
| 1891084372 | Rickey White Hamby Jr. | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2011-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.