Alice Jo Fautheree, APRN, BC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45485-01456 Issued in LA

Practice address

1140 University Ave., Monroe, la 71209-1170 3183421651
2110 Justice Street
Monroe, LA 71201

Phone

(318) 322-8811

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Edward Boykin, M.D., a Medical Corporation

  • Medical Specialty Clinic/Center
  • Monroe, LA
  • NPI 1528228962
  NPD (past)
• Physician Billing SFN

  • Neurological Surgery Physician
  • Monroe, LA
  • NPI 1306893086
  NPD (past)
• St Francis Medical Center, Inc

  dba St Francis Health & Wellness Clinic

  • Clinic/Center
  • Monroe, LA
  • NPI 1477542744
  NPD (past)
• St. Francis Medical Center, Inc.

  dba St. Francis Walk In Clinic, Jackson St.

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1437552106
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457426348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOWNEY LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014746",
            "telephone_number": "318-322-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 UNIVERSITY AVE., MONROE, LA 71209-1170 3183421651",
            "address_2": "2110 JUSTICE STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-322-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUTHEREE",
        "first_name": "ALICE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "45485-01456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684252",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy S Farrar, RPH
• Amy Farris
• Krista Laure Faubert Cummins, LMSW
• Jarrad W Faulk, PT
• Lisa Michelle Faulkenbury, FNP
• FCB Psychiatric Services (Focused Consciousness)
• Patricia Feazel
• Lee Feierabend, MD
• Edgar L Feinberg II, M.D.
• Felicia Downs LCSW LLC

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.