NPIMap

Organization Active NPI

Lisa Faulkner

  • Community Health Worker
  • Evanston, WY
National Provider Identifier
1881960854
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
LISA FAULKNER
Practice address
350 City View Dr
Suite 302
Evanston, WY 82930-5327
Phone
(307) 789-7915
NPI assigned
Mar 23, 2012
Organization subpart
Yes
Parent organization
PIONEER COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Lisa Faulkner
Title
Daily Living Assistant
Phone
(307) 789-7915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

350 City View Dr
Suite 302
Evanston, WY 82930-5327

Mailing address

350 City View Dr
Suite 302
Evanston, WY 82930-5327
Phone (307) 789-7915

National Provider Directory

National Provider Directory
Tax ID family
Lisa Faulkner8 organizations share this tax ID, including this one
Part of
Lisa Faulkner

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1881960854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR",
            "address_2": "SUITE 302",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305327",
            "telephone_number": "307-789-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR",
            "address_2": "SUITE 302",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305327",
            "telephone_number": "307-789-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA FAULKNER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER COUNSELING SERVICES",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DAILY LIVING ASSISTANT",
        "authorized_official_telephone_number": "307-789-7915"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.