Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lavenia Fain

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649697202

Lavenia Fain is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group and offers telehealth. Licensed in California, Delaware, New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
CA, DE, NJ, PA
In the registry since
2014
Specialties on file
5
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Practice location Address checks out

4700 Wissahickon Ave Ste 119
Philadelphia, PA 19144-4248
Phone: (215) 843-9720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP025249 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP013612 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP95025323 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence L8-0010842 (DE)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ01462700 (NJ)

Record details

NPI number1649697202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2014
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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