Individual provider Active NPI

Michael Shane Fauth, FNP

  • Family Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1710896436
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
360758 Issued in NY
Practice address
735 Pittsford Victor Rd
Pittsford, NY 14534-3937
Phone
(585) 325-1120
NPI assigned
Sep 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 360758 NY Primary

Addresses

Primary practice location

735 Pittsford Victor Rd
Pittsford, NY 14534-3937

Mailing address

11 Pondview Dr
Pittsford, NY 14534-9501
Phone (585) 353-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1710896436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PONDVIEW DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145349501",
            "telephone_number": "585-353-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PITTSFORD VICTOR RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343937",
            "telephone_number": "585-325-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUTH",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "360758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.