Katelyn Faucette Hall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

239886 Issued in AZ

Practice address

281 W 24TH St Ste 134
Yuma, AZ 85364-8564

Phone

(928) 919-7080

NPI assigned

Sep 18, 2020

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1639785272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 134",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648564",
            "telephone_number": "928-919-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 134",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648564",
            "telephone_number": "928-919-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATELYN",
        "middle_name": "FAUCETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING- RN",
            "identifier": "239886",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING- APRN-RNP",
            "identifier": "239886",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hacienda Crossing LLC (Ativo Senior Living of Yuma)
• Daniel Haddad, DO
• Michael Joseph Haddad, DO
• Nader M Haddad, MD
• Cynthia Faye Hale, NP
• Veronica Hall, PA-C
• Stewart Hamilton, MD
• Julie Hampton, FNP
• Hands N Hearts Home Care LLC
• Joe F Hands Jr., R.PH.

• Family Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.