Active NPI
Halley Spencer Faust, MD
- Public Health & General Preventive Medicine Physician
- Santa Fe, NM
National Provider Identifier
1609013259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD2004-0781
- Practice address
- 1260 Vallecita Dr
Santa Fe, NM 87501-8803 - Phone
- (505) 988-1360
- NPI assigned
- Jan 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD2004-0781 | NM | Primary |
Addresses
Primary practice location
1260 Vallecita Dr
Santa Fe, NM 87501-8803
Mailing address
1260 Vallecita Dr
Santa Fe, NM 87501-8803
Phone (505) 988-1360
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2004-0781 | NM | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232236800000",
"number": "1609013259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 VALLECITA DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875018803",
"telephone_number": "505-988-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 VALLECITA DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875018803",
"telephone_number": "505-988-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "HALLEY",
"middle_name": "SPENCER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-18",
"last_updated": "2009-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NM",
"license": "MD2004-0781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.