Lisa Favstritsky

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

40 E Center St Ste 12
Fallon, NV 89406-3474

Phone

(775) 867-5615

Fax

(775) 867-5616

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1104214170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S RUSSELL ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063722",
            "telephone_number": "775-217-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E CENTER ST STE 12",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063474",
            "telephone_number": "775-867-5615",
            "fax_number": "775-867-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVSTRITSKY",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallon Paiute Shoshone Tribe
• Fallon Physical Therapy
• Fallon Tribal Health Center
• Fallon Tribal Health Center
• Family Medical Center
• Ferguson Kutansky, PLLC (Nevada Dental Arts)
• Jason Earl Ferguson
• Marrisa Fillmore
• Jon K Floto, DC
• Chelsey Richelle Franks, M.ED

• Community/Behavioral Health Agency in Fallon, NV
• Providers in Fallon, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.