Janice Renee Faught, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

57950 Leavenworth St BLDG 250
McConnell AFB, KS 67221-3506

Phone

(316) 759-5022

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1255569612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 IRONWOOD CT",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373150",
            "telephone_number": "316-789-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST BLDG 250",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGHT",
        "first_name": "JANICE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nenita S Diego, M.D.
• Cari Ann Dimercurio, PHARM D
• Danielle Dockery, SOCIAL WORKER
• Jack William Drakeford, PHARMD
• Brian Charles Everitt, LCSW
• Anna Catherine Field, PHARMD
• Raul O Franco, DDS
• Daniel David Fridman, DMD
• Mark Friskel, IDMT
• Justine R Froude, IDMT

• Independent Duty Medical Technicians in McConnell AFB, KS
• Providers in McConnell AFB, KS by specialty
• Independent Duty Medical Technicians in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.