Individual provider Active NPI

Fausta Nazaire, M.D.

  • Internal Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1215998208
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 85554 Issued in FL
Practice address
12977 Southern Blvd
Suite 100
Loxahatchee, FL 33470-9255
Phone
(561) 792-3232
Fax
(561) 792-3528
NPI assigned
Mar 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 85554 FL Primary

Addresses

Primary practice location

12977 Southern Blvd
Suite 100
Loxahatchee, FL 33470-9255

Mailing address

12977 Southern Blvd
Suite 100
Loxahatchee, FL 33470-9255
Phone (561) 792-3232

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 85554FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellington Medical Associates Internal Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215998208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12977 SOUTHERN BLVD",
            "address_2": "SUITE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709255",
            "telephone_number": "561-792-3232",
            "fax_number": "561-792-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12977 SOUTHERN BLVD",
            "address_2": "SUITE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709255",
            "telephone_number": "561-792-3232",
            "fax_number": "561-792-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAIRE",
        "first_name": "FAUSTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 85554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.