Individual provider Active NPI

Linda Renee Lusk-Fauquet, ARNP

  • Gerontology Registered Nurse
  • Lake Forest Park, WA
National Provider Identifier
1689844136
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
AP30002149 Issued in WA
Practice address
18490 Ballinger Way NE
Lake Forest Park, WA 98155-4239
Phone
(206) 364-0174
Fax
(206) 364-0174
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X AP30002149 WA Primary

Addresses

Primary practice location

18490 Ballinger Way NE
Lake Forest Park, WA 98155-4239

Mailing address

18490 Ballinger Way NE
Lake Forest Park, WA 98155-4239
Phone (206) 364-0174

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

LicenseStateTypeSpecialty
AP30002149WAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital & Medical Center Past Accepting new patients
Northwest Hospital Provider Trust Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1689844136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18490 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554239",
            "telephone_number": "206-364-0174",
            "fax_number": "206-364-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554239",
            "telephone_number": "206-364-0174",
            "fax_number": "206-364-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK-FAUQUET",
        "first_name": "LINDA",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WA",
            "license": "AP30002149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.