Active NPI
Faith Tingle, NURSE PRACTITIONER
- Acute Care Nurse Practitioner
- Goshen, KY
National Provider Identifier
1104550995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3018049
- Practice address
- 1002 Barbizon Dr
Goshen, KY 40026-7707 - Phone
- (502) 259-8845
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3018049 | KY | Primary |
Addresses
Primary practice location
1002 Barbizon Dr
Goshen, KY 40026-7707
Mailing address
1002 Barbizon Dr
Goshen, KY 40026-7707
Phone (502) 259-8845
Other practice location 1
1002 Barbizon Dr
Goshen, KY 40026-7707
Phone (502) 259-8845
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3018049 | KY | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1104550995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 BARBIZON DR",
"city": "GOSHEN",
"state": "KY",
"postal_code": "400267707",
"telephone_number": "502-259-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 BARBIZON DR",
"city": "GOSHEN",
"state": "KY",
"postal_code": "400267707",
"telephone_number": "502-259-8845"
}
],
"practiceLocations": [
{
"address_1": "1002 Barbizon Dr",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "KY",
"postal_code": "400267707",
"country_code": "US",
"telephone_number": "502-259-8845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINGLE",
"first_name": "FAITH",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3018049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.