Individual provider Active NPI

Sarah Faulks

  • Registered Nurse
  • Columbia, SC
National Provider Identifier
1669800447
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
38595 Issued in SC
Practice address
1100 Shirley St
Columbia, SC 29205-1370
Phone
(803) 252-1979
Fax
(803) 779-7212
NPI assigned
Oct 14, 2013
Last updated
Oct 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 38595 SC Primary
Community Health Registered Nurse 163WC1500X 38595 SC

Addresses

Primary practice location

1100 Shirley St
Columbia, SC 29205-1370

Mailing address

1522 Shady LN
Columbia, SC 29206-4635
Phone (803) 738-0789

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

State licenses

LicenseStateTypeSpecialty
38595SCMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1669800447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SHADY LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064635",
            "telephone_number": "803-738-0789",
            "fax_number": "803-779-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHIRLEY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051370",
            "telephone_number": "803-252-1979",
            "fax_number": "803-779-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "38595",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "38595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.