Individual provider Active NPI

Yvette Alise Faust, RN

  • Family Nurse Practitioner
  • Eureka, CA
National Provider Identifier
1356492771
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17315 Issued in CA
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

Updated by the provider on Oct 22, 2021

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423002168 CA Practitioner - Nurse Practitioner 3072831056 Reassigns benefits to 2 organizations

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
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

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 Hospital, Eureka, CA, CCN 050006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN411242CAMDRegistered Nurse First Assistant
17315CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 25, 2016 Accepting new patients
North Coast Surgical Specialists CurrentSince Feb 23, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Jul 25, 2016 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.