Kristie Faust, PNP
Individual provider Active NPI Pediatric Nurse Practitioner · Greensburg, LA
NPI 1811261399 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1811261399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- AP06771 (LA)
- Practice address
- 490 Sitman St
Greensburg, LA 70441 - Phone
- (225) 222-6059
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06771 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients |
Interoperability endpoints
- kristie.faust@shchc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP06771 | LA | Yes |
Addresses
Primary practice location
490 Sitman St
Greensburg, LA 70441
Mailing address
49690 Bailey Loop Rd
Loranger, LA 70446-3118
Phone (985) 981-0721
Other providers in Greensburg, LA
- Georgette Cooper Cutrer
- Latricia Dixon
- Alisha Douglas
- Katrina E Chaney
- Ladonna N Evans
- Fred'S Inc
- Audrey Clark Gordon
- Greensburg Family Pharmacy
- Greensburg Family Pharmacy LLC
- Daranecia Griffin
All providers in Greensburg, LA · Pediatric Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.