Individual provider Active NPI

Denise Alxandria Faust, NURSING ASSTISTANT

  • Home Health Agency
  • Wagener, SC
National Provider Identifier
1649935792
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.