Individual provider Active NPI

Kyle Faye, CRNP, DNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1629447065
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015043 Issued in PA
Practice address
6120B Woodland Avenue
Philadelphia, PA 19142
Phone
(215) 727-4721
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015043 PA Primary

Addresses

Primary practice location

6120B Woodland Avenue
Philadelphia, PA 19142

Mailing address

4700 Wissahickon Ave
Suite 118, BLDG D
Philadelphia, PA 19144-4248
Phone (267) 597-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029002622 PA Practitioner - Nurse Practitioner 9739499930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Resources for Human Development, Inc. CurrentSince Oct 6, 2015 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Oct 6, 2015 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients

Locations

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

6120 Woodland Ave
#B
Philadelphia, PA 19142
Phone (215) 727-4721

6120 Woodland Ave
Fl 2
Philadelphia, PA 19142
Phone (215) 727-4721

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1629447065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "SUITE 118, BLDG D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "267-597-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120B WOODLAND AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19142",
            "telephone_number": "215-727-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYE",
        "first_name": "KYLE",
        "credential": "CRNP, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.