Active NPI
Lisa Ellen Faist, NP
- Nurse Practitioner
- Roanoke, VA
National Provider Identifier
1659340453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 332601
- Practice address
- 3 Riverside Circle
Roanoke, VA 24016 - Phone
- (540) 224-5170
- Fax
- (540) 985-9612
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 332601 | NY | Primary |
Addresses
Primary practice location
3 Riverside Circle
Roanoke, VA 24016
Mailing address
3 Riverside Circle
Roanoke, VA 24016
Phone (540) 224-5170
Other names 1
- Lisa Ellen Faist-Stanton
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332601 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1659340453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIRCLE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24016",
"telephone_number": "540-224-5170",
"fax_number": "540-985-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIRCLE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24016",
"telephone_number": "540-224-5170",
"fax_number": "540-985-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIST",
"first_name": "LISA",
"middle_name": "ELLEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "332601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "FAIST-STANTON",
"middle_name": "ELLEN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.