Active NPI
Jason Fautheree
- Skilled Nursing Facility
- Cleburne, TX
National Provider Identifier
1144620212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Practice address
- 607 Willow Bend St
Cleburne, TX 76031-0314 - Phone
- (817) 312-9637
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
607 Willow Bend St
Cleburne, TX 76031-0314
Mailing address
607 Willow Bend St
Cleburne, TX 76031-0314
Phone (817) 312-9637
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1144620212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WILLOW BEND ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760310314",
"telephone_number": "817-312-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 WILLOW BEND ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760310314",
"telephone_number": "817-312-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUTHEREE",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.