Jaclyn Faestel, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

664512-1 Issued in NY

Practice address

Madigan Army Medical Ctr
9040 Jackson Ave, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100

Phone

(253) 968-3869

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By 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 names 1

• Jaclyn Stephany Hood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1588109250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 GRAND FIR DR SW",
            "city": "MCCHORD AFB",
            "state": "WA",
            "postal_code": "984392200",
            "telephone_number": "808-284-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040 JACKSON AVE, ATTN: MCHJ-CLQ-C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAESTEL",
        "first_name": "JACLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "664512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "HOOD",
            "middle_name": "STEPHANY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa D Fabre Lopez
• Andrew Jerome Fabrizio, OTR/L, CHT
• Anthony Joseph Fadell, M.D.
• Holli Fadem
• Hannah Bernice Fadenrecht, DO
• Paul Michael Faestel, M.D.
• Jacquelyn Allyse Fagan, RD, CD, CEP
• Nicole Erin Fagan
• Karen Fagerstrom, RN
• Kealsye Nicola June Fahey, LMP

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.