=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881516078
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAHTIVA VIRTUAL CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2026
-----------------------------------------------------
Last Update Date | 07/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 362 INVERNESS AVE
-----------------------------------------------------
City | DELAWARE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43015-8185
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-285-7483
-----------------------------------------------------
Fax | 614-500-7093
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 362 INVERNESS AVE
-----------------------------------------------------
City | DELAWARE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43015-8185
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-417-3701
-----------------------------------------------------
Fax | 614-500-7093
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | FAHTIMA SESAY
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 740-417-3701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------