Erik Dacanay Faustino, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023125330 Issued in FL

Practice address

2655 Coachman Lakes Dr
Jacksonville, FL 32246-1860

Phone

(904) 483-1171

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivx Health of Florida, P.a.

  • Infusion Therapy Clinic/Center
  • Altamonte Springs, FL
  • NPI 1821622432
  NPD
• Infusion Express of Kansas LLC

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1922554732
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1174392997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 COACHMAN LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461860",
            "telephone_number": "904-483-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COACHMAN LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461860",
            "telephone_number": "904-483-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTINO",
        "first_name": "ERIK",
        "middle_name": "DACANAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2023125330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Faust, CRNA
• Kim Faust, CNM
• Macey Faust, LCSW
• Marilyne R Faustin, PMHNP-BC
• Danreb Faustino
• Scott T Fauth, M.D.
• Anthony Frank Favale II, OD
• Favor Love and Care Inc (N/a)
• Favored Support Services LLC
• Favored Support Services LLC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.