Active NPI
Yvette Alise Faust, RN
- Family Nurse Practitioner
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17315
- Practice address
- 2607 Harris St
Eureka, CA 95503-4806 - Phone
- (707) 445-3443
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN411242 | CA | |
| Family Nurse Practitioner | 363LF0000X | 17315 | CA | Primary |
Addresses
Primary practice location
2607 Harris St
Eureka, CA 95503-4806
Mailing address
6290 Westridge CT
Eureka, CA 95503-9201
Phone (707) 445-7348
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yfaust1647995@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2321 Harrison Ave
Suite S
Eureka, CA 95501-3216
Phone (707) 445-3674
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
Hospital & facility affiliations
- Providence St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN411242 | CA | MD | Registered Nurse First Assistant |
| 17315 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| North Coast Surgical Specialists | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805
2321 Harrison Ave
Eureka, CA 95501
Phone (707) 445-3660
2379 23rd St
Eureka, CA 95501
Phone (707) 443-9371
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
2321 Harrison Ave
Ste S
Eureka, CA 95501
Phone (707) 443-2248
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Surgery Physician
- Eureka, CA
- NPI 1326246828
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1356492771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6290 WESTRIDGE CT",
"city": "EUREKA",
"state": "CA",
"postal_code": "955039201",
"telephone_number": "707-445-7348",
"fax_number": "707-443-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034806",
"telephone_number": "707-445-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "YVETTE",
"middle_name": "ALISE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "RN411242",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yfaust1647995@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2321 Harrison Ave",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955013216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.