Jeffrey Charles Faucheux, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATH.J100120 Issued in LA

Practice address

20051 Old Scenic Hwy Apt 2204
Zachary, LA 70791-7381

Phone

(225) 933-1526

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1396389276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 OLD SCENIC HWY APT 2204",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917381",
            "telephone_number": "225-933-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20051 OLD SCENIC HWY APT 2204",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917381",
            "telephone_number": "225-933-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHEUX",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.J100120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Everett Fallin, DDS
• Shelly F. Fallin, DDS
• Fast Lane of Zachary LLC
• Fast LLC (Fast Accurate Safe Transporting LLC)
• Cristina M Faucheux, PT
• Emily Rose Fernandez, PA-C
• John Francis Fidanza III, PSY.D.
• Samuel B. Field, MD
• Robert L Fillman, P.A.
• Kaelyn Elizabeth Fitzek

• Athletic Trainer in Zachary, LA
• Providers in Zachary, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.