Active NPI
Kristie Faust, PNP
- Pediatric Nurse Practitioner
- Greensburg, LA
National Provider Identifier
1811261399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP06771
- Practice address
- 490 Sitman St
Greensburg, LA 70441 - Phone
- (225) 222-6059
- NPI assigned
- Mar 1, 2012
- Last updated
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP06771 | LA | Primary |
Addresses
Primary practice location
490 Sitman St
Greensburg, LA 70441
Mailing address
49690 Bailey Loop Rd
Loranger, LA 70446-3118
Phone (985) 981-0721
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
- 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
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Community Health Systems @ Middle School
- Federally Qualified Health Center (FQHC)
- Greensburg, LA
- NPI 1407085459
-
dba Southeast Community Health Systems @ Chaneyville
- Federally Qualified Health Center (FQHC)
- Zachary, LA
- NPI 1538398730
-
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1750838686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1811261399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49690 BAILEY LOOP RD",
"city": "LORANGER",
"state": "LA",
"postal_code": "704463118",
"telephone_number": "985-981-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 SITMAN ST",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "70441",
"telephone_number": "225-222-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "KRISTIE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP06771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.