Active NPI
Cristian Faia, PNP-PC
- Pediatric Nurse Practitioner
- Danvers, MA
National Provider Identifier
1144931395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2295138
- Practice address
- 480 Maple St Ste 3a
Danvers, MA 01923-4067 - Phone
- (978) 406-4234
- NPI assigned
- Dec 8, 2022
- Last updated
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 089942-23 | NH | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2295138 | MA | Primary |
Addresses
Primary practice location
480 Maple St Ste 3a
Danvers, MA 01923-4067
Mailing address
480 Maple St Ste 3a
Danvers, MA 01923-4067
Phone (978) 406-4234
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 |
|---|---|---|---|
| RN2295138 | MA | MD | Pediatric Nurse Practitioner |
| 089942-23 | NH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SS Peds | Past | Accepting new patients | |
| North Shore Pediatrics, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Danvers, MA
- NPI 1912047788
-
- Physical Therapy Clinic/Center
- Danvers, MA
- NPI 1033445549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1144931395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MAPLE ST STE 3A",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234067",
"telephone_number": "978-406-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MAPLE ST STE 3A",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234067",
"telephone_number": "978-406-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIA",
"first_name": "CRISTIAN",
"credential": "PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NH",
"license": "089942-23",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2295138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.