Individual provider Active NPI

Faith Tingle, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Goshen, KY
National Provider Identifier
1104550995
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3018049 Issued in KY
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

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
3018049KYMDAcute 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.

Verify at the official NPI Registry.