Individual provider Active NPI

Shawn Faust, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Horse Shoe, NC
National Provider Identifier
1841762762
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5014284 Issued in NC
Practice address
3740 Brevard Rd Unit 216
Horse Shoe, NC 28742-0026
Phone
(336) 515-1193
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R49981 ND
Registered Nurse 163W00000X RN182078 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403915 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71015544A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 181097 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 224121 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230693 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP211665 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0037083 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014284 NC Primary

Addresses

Primary practice location

3740 Brevard Rd Unit 216
Horse Shoe, NC 28742-0026

Mailing address

3740 Brevard Rd Unit 216
Horse Shoe, NC 28742-0026
Phone (520) 909-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191028002889 AZ Practitioner - Nurse Practitioner 4284966078 Reassigns benefits to 1 organization
I20250207000089 NC Practitioner - Nurse Practitioner 4284966078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3740 Brevard Rd
Unit 216
Horse Shoe, NC 28742-0026
Phone (336) 515-1193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
181097AKMDPsychiatric/Mental Health Nurse Practitioner
230693ARMDPsychiatric/Mental Health Nurse Practitioner
71015544AINMDPsychiatric/Mental Health Nurse Practitioner
CNP211665MEMDPsychiatric/Mental Health Nurse Practitioner
R49981NDMDPsychiatric/Mental Health Nurse Practitioner
403915NYMDPsychiatric/Mental Health Nurse Practitioner
0037083OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Mental Health, PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

3740 Brevard Rd
Unit 216
Horse Shoe, NC 28742
Phone (336) 515-1193

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1841762762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 BREVARD RD UNIT 216",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287420026",
            "telephone_number": "520-909-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 BREVARD RD UNIT 216",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287420026",
            "telephone_number": "336-515-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "SHAWN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R49981",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN182078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71015544A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "181097",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "224121",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "230693",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0037083",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horse Shoe, NC

Sources for this page

Verify at the official NPI Registry.