Individual provider Active NPI

Debra Faucher, CRNA

  • Certified Registered Nurse Anesthetist
  • St. Marys, PA
National Provider Identifier
1568436814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN340462L Issued in PA
Practice address
Erpg Crna Services
763 Johnsonburg Road
St. Marys, PA 15857
Phone
(814) 788-8569
Fax
(814) 788-8092
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN340462L PA Primary

Addresses

Primary practice location

Erpg Crna Services
763 Johnsonburg Road
St. Marys, PA 15857

Mailing address

11 Highwood LN
Bradford, PA 16701-2459
Phone (814) 362-0103

Other identifiers 1

IdentifierTypeStateIssuer
053130OtherPACRNA CERTIFICATE

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN340462LPAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568436814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGHWOOD LN",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012459",
            "telephone_number": "814-362-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ERPG CRNA SERVICES",
            "address_2": "763 JOHNSONBURG ROAD",
            "city": "ST. MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-788-8569",
            "fax_number": "814-788-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHER",
        "first_name": "DEBRA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN340462L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERTIFICATE",
            "identifier": "053130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Marys, PA

Sources for this page

  • 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.