Travis Faustin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

500 Hancock St
Saginaw, MI 48602-4224

Phone

(989) 797-3565

NPI assigned

May 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Dewayne Cotton

  • Behavior Technician
  • Saginaw, MI
  • NPI 1972111789
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1659945673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 MARA DR",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HANCOCK ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024224",
            "telephone_number": "989-797-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTIN",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY PLUS",
            "identifier": "1750920740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mashood Ahmad Farooqi
• Stacy Farrell, LLMSW
• Peter G. Fattal, MD
• Olubukola Idowu Faturoti
• Faucher Dental Group, P.C.
• Jennifer Ann Favara, RRT
• Ahmad Fawaz, DMD
• Russell Lee Fayson Jr.
• Shauna Ann Federico, M.S.N., FNP-BC
• Shawna Lynn Fedewa, RDH

• All providers in Saginaw, MI
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.