Individual provider Active NPI

Christen Rasharn Faush, FNP-C

  • Nurse Practitioner
  • Madison, AL
National Provider Identifier
1104691310
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-174111 Issued in AL
Practice address
101 Red Hill Way
Madison, AL 35758-2568
Phone
(256) 464-7855
NPI assigned
Nov 17, 2023
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-174111 AL Primary

Addresses

Primary practice location

101 Red Hill Way
Madison, AL 35758-2568

Mailing address

165 John Thomas Dr Unit 4313
Madison, AL 35757-7762
Phone (205) 529-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250115003874 AL Practitioner - Nurse Practitioner 8921536103 Reassigns benefits to 1 organization
I20260427002571 GA Practitioner - Nurse Practitioner 8921536103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Physicians of Georgia, P.C.Group PAC ID 4082696109, 12 clinicians

Practice addresses (Care Compare)

101 Red Hill Way
Madison, AL 35758-2568
Phone (256) 464-7855

2450 Atlanta Hwy
Suite 904
Cumming, GA 30040-1252
Phone 4046595909221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pain & Rehabilitation Consultants CurrentSince Sep 20, 2024 Accepting new patients
Pain and Rehabilitation Consultants CurrentSince Sep 20, 2024 Accepting new patients
The Pain Medicine & Rehabilitation Center, Inc PastSince Sep 20, 2024 Accepting new patients

Locations

200 E McKinney Ave
Albertville, AL 35950
Phone (256) 464-7855

101 Red Hill Way
Madison, AL 35758
Phone (256) 464-7855

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1104691310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 JOHN THOMAS DR UNIT 4313",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577762",
            "telephone_number": "205-529-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RED HILL WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582568",
            "telephone_number": "256-464-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSH",
        "first_name": "CHRISTEN",
        "middle_name": "RASHARN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-174111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.