JAMIE FANNIN MS ACSM-CEP NPI 1790435543

NPI Information

NPI: 1790435543
Provider Name: JAMIE FANNIN, MS, ACSM-CEP
Classification: Clinical Exercise Physiologist - 224Y00000X
Entity Type: Individual
Address:
135 E MAXWELL ST STE 103
LEXINGTON, KY
ZIP 40508
Phone: (859) 323-5424
Get Directions

Jamie Fannin, MS, ACSM-CEP is a clinical exercise physiologist in Lexington, KY. The provider is a Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. Jamie Fannin, MS, ACSM-CEP NPI is 1790435543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

135 E MAXWELL ST STE 103
LEXINGTON, KY
ZIP 40508-621
Phone: (859) 323-5424

The enumeration date for this NPI number is 3/25/2022 and was last updated on 3/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224Y00000X	Clinical Exercise Physiologist			KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1065850	MEDICAID	KENTUCKY
2	429776	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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