Active NPI
Denise Alxandria Faust, NURSING ASSTISTANT
- Home Health Agency
- Wagener, SC
National Provider Identifier
1649935792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 223 Hailey Stone CT
Wagener, SC 29164-8402 - Phone
- (919) 897-3904
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | SC | Primary |
Addresses
Primary practice location
223 Hailey Stone CT
Wagener, SC 29164-8402
Mailing address
223 Hailey Stone CT
Wagener, SC 29164-8402
Phone (919) 897-3904
Other names 1
- Miss Denise Alxandria Faust
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1649935792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 HAILEY STONE CT",
"city": "WAGENER",
"state": "SC",
"postal_code": "291648402",
"telephone_number": "919-897-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 HAILEY STONE CT",
"city": "WAGENER",
"state": "SC",
"postal_code": "291648402",
"telephone_number": "919-897-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "DENISE",
"middle_name": "ALXANDRIA",
"name_prefix": "Ms.",
"credential": "NURSING ASSTISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "FAUST",
"middle_name": "ALXANDRIA",
"prefix": "MISS",
"credential": "NURSING ASSISTANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wagener, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.