Mallory Faust

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1794 Issued in FL

Practice address

141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194

Phone

(850) 622-0996

Fax

(850) 622-1185

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1548600455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MACK BAYOU LOOP STE 202",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597194",
            "telephone_number": "850-622-0996",
            "fax_number": "850-622-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MACK BAYOU LOOP STE 202",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597194",
            "telephone_number": "850-622-0996",
            "fax_number": "850-622-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1794",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY1794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Jennifer Esses, M.D.
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• William Andrew Farnham, M.S., CCC-SLP
• Jennifer Lynn Farris, P.T.
• Christopher Paul Farrugia, DDS
• Jacob Michael Feagans, MD
• Susan Rene Ferguson, PA-C
• David James Ferner, M.D.
• Footseas Medical Inc
• David Michael Franceschini, LPCC (CA), LMHC (FL)

• Audiologist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.