Andrea Faccioli

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

661972 Issued in NY

Practice address

502 Court St Ste 210
Utica, NY 13502-4233

Phone

(315) 507-5800

Fax

(315) 507-5802

NPI assigned

Feb 16, 2015

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

State licenses

Practice roles

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.

• Central New York Services, Inc.

  • Multi-Specialty Clinic/Center
  • Utica, NY
  • NPI 1407363492
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1134510969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COURT ST STE 210",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-507-5800",
            "fax_number": "315-507-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COURT ST STE 210",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-507-5800",
            "fax_number": "315-507-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIOLI",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "661972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamila Amara Evans
• Conni3 Lou Everetts, LCSWR
• Evolve Counseling, LCSW, PLLC
• Extend Care Family Health NP PLLC
• Eye Designs Unlimited Optometry PC
• Cynthia Fahey, OTR/L
• Sara Fairbairn
• Anthony Joseph Falcone, D.D.S
• Joann Falcone
• Rebecca Ann Falk, AU.D.

• Addiction (Substance Use Disorder) Registered Nurse in Utica, NY
• Providers in Utica, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.