Individual provider Active NPI

Lori Ann Neill Faglie, FNP-C

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1083334494
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1074576 Issued in TX
Practice address
121 Quest CT
Keller, TX 76248-3748
Phone
(817) 431-9199
Fax
(833) 973-3672
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1074576 TX Primary

Addresses

Primary practice location

121 Quest CT
Keller, TX 76248-3748

Mailing address

121 Quest CT
Keller, TX 76248-3748
Phone (817) 431-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1074576TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffington Family Medicine PLLC CurrentSince Sep 15, 2024 Accepting new patients
Buffington Family Medicine PLLC Family Medicine CurrentSince Sep 15, 2024 Accepting new patients

Locations

121 Quest Ct
Ste B
Keller, TX 76248
Phone (630) 536-9644

121 Quest Ct
Keller, TX 76248
Phone (817) 431-9199

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17502/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1083334494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 QUEST CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "817-431-9199",
            "fax_number": "833-973-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 QUEST CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "817-431-9199",
            "fax_number": "833-973-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGLIE",
        "first_name": "LORI",
        "middle_name": "ANN NEILL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1074576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.