Individual provider Active NPI

Carol-Lynn Hendrych Faciane, RNFA

  • Registered Nurse First Assistant
  • League City, TX
National Provider Identifier
1346409331
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
591584 Issued in TX
Practice address
6120 Carlisle LN
League City, TX 77573-6362
Phone
(281) 554-5078
Fax
(281) 554-5078
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 591584 TX Primary
Registered Nurse First Assistant 163WR0006X 310410 CO

Addresses

Primary practice location

6120 Carlisle LN
League City, TX 77573-6362

Mailing address

6120 Carlisle LN
League City, TX 77573-6362
Phone (281) 554-5078

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

LicenseStateTypeSpecialty
310410COMDRegistered Nurse First Assistant
591584TXMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1346409331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 CARLISLE LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736362",
            "telephone_number": "281-554-5078",
            "fax_number": "281-554-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 CARLISLE LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736362",
            "telephone_number": "281-554-5078",
            "fax_number": "281-554-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACIANE",
        "first_name": "CAROL-LYNN",
        "middle_name": "HENDRYCH",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "591584",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "310410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.