Lauren Brooks Faggard, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP9319281 Issued in FL

Practice address

1201 W Hernandez St
Pensacola, FL 32501-1815

Phone

(850) 436-4630

NPI assigned

Oct 1, 2007

Last updated

Jul 10, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1598952947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-436-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011815",
            "telephone_number": "850-436-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGARD",
        "first_name": "LAUREN",
        "middle_name": "BROOKS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-094049",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9319281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003292100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Eytchison, HIS
• F Elaine Brennan MD
• Madeline Marie Fabela
• Lisa Faber
• Rachel S Fagan, CRNA
• Peter Talaat Helmy Fahim, M.D.
• David L. Fahringer, MD
• Kayleigh Breane Fails, RN
• Brett S Fain
• Lauren Luker Fain, LMHC

• Pediatric Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.