Individual provider Active NPI

George Fauber, LPN

  • Licensed Practical Nurse
  • Ft Huachuca, AZ
National Provider Identifier
1548628662
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP027600 Issued in AZ
Practice address
224 Winrow Ave
USA Meddac, Rwbahc
Ft Huachuca, AZ 85613
Phone
(520) 533-2627
Fax
(520) 533-2203
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP027600 AZ Primary

Addresses

Primary practice location

224 Winrow Ave
USA Meddac, Rwbahc
Ft Huachuca, AZ 85613

Mailing address

697 Calle del Norte
Sierra Vista, AZ 85635-3403
Phone (520) 533-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP027600AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1548628662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 CALLE DEL NORTE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353403",
            "telephone_number": "520-533-2627",
            "fax_number": "520-533-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-2627",
            "fax_number": "520-533-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBER",
        "first_name": "GEORGE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP027600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Huachuca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.