Amanda Faust, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R049784 Issued in ME

Practice address

2 Lehner Rd
Saco, ME 04072-1836

Phone

(207) 300-2471

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Everest Recovery Centers - Maine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saco, ME
  • NPI 1720650823
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1720786635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BEAVER DAM RD",
            "city": "NORTH WATERBORO",
            "state": "ME",
            "postal_code": "040614740",
            "telephone_number": "207-831-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEHNER RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721836",
            "telephone_number": "207-300-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R049784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NUMBER",
            "identifier": "R049784",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Fallon
• Family Eye Care
• Jena E Farrar, LCSW
• Caitlyn B Farrell, LCPC
• Robert A Faucette, MD
• Tyson Richard Fearon
• Tanya Fedyshyn, PA-C
• Chelsea D Feeney, LCSW
• Heather P Ferrill, D.O.
• Scott D Ferris, LCPC-C

• Registered Nurse in Saco, ME
• Providers in Saco, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.