Individual provider Active NPI

Sheila Faytaren

  • Adult Health Nurse Practitioner
  • Salinas, CA
National Provider Identifier
1154861409
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP95006217 Issued in CA
Practice address
917 Blanco Cir
Salinas, CA 93901-4446
Phone
(831) 755-7999
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95006217 CA Primary

Addresses

Primary practice location

917 Blanco Cir
Salinas, CA 93901-4446

Mailing address

917 Blanco Cir
Salinas, CA 93901-4446
Phone (831) 755-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170403001153 CA Practitioner - Nurse Practitioner 4789969866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Nephrology Medical CorporationGroup PAC ID 2466495759, 11 clinicians

Practice addresses (Care Compare)

917 Blanco Cir
Salinas, CA 93901-4446
Phone (831) 755-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95006217CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Nephrology Medical Corporation CurrentSince Feb 21, 2017 Accepting new patients

Locations

917 Blanco Cir
Salinas, CA 93901
Phone (831) 755-7999

Interoperability endpoints

  • Direct secure messaging: sfaytaren17718@direct.svmh.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1154861409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYTAREN",
        "first_name": "SHEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95006217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.