Jared William Faulk

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1222 E Walnut St Apt 111
Columbia, MO 65201-4972

Phone

(309) 706-0254

NPI assigned

Mar 8, 2019

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1861950727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 ASPEN HEIGHTS PKWY APT C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017262",
            "telephone_number": "309-706-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E WALNUT ST APT 111",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014972",
            "telephone_number": "309-706-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "JARED",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Fasihuddin, M.D.
• Fasken Chiropractic and Wellness LLC
• Shayna Loren Fasken, D.C., M.T.A.A.
• Brittany Amber Fassbinder, LCSW
• Brittany Elise Fatoma, CD
• Angela Faurot
• Jay L Faurot III, MD
• Diana Kay Fauss, APRN, BC, FNP, GNP
• George E Faust, R.PH.
• Christopher Favier

• Athletic Trainer in Columbia, MO
• Providers in Columbia, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.