Active NPI
Gail Carmen Faust, NP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Lafayette, IN
National Provider Identifier
1912330549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 71004758A
- Practice address
- 415 N 26TH St Ste 202
Lafayette, IN 47904-2856 - Phone
- (765) 607-2001
- Fax
- (765) 607-2002
- NPI assigned
- Aug 19, 2013
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71004758A | IN | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 71004758A | IN | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 17861 | TN |
Addresses
Primary practice location
415 N 26TH St Ste 202
Lafayette, IN 47904-2856
Mailing address
415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone (765) 446-6549
Other practice location 1
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other practice location 2
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17861 | TN | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912330549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 201",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856",
"telephone_number": "765-446-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 202",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856",
"telephone_number": "765-607-2001",
"fax_number": "765-607-2002"
}
],
"practiceLocations": [
{
"address_1": "201 W Springdale Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379175158",
"country_code": "US",
"telephone_number": "865-637-9711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 W Springdale Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379175158",
"country_code": "US",
"telephone_number": "865-637-9711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAUST",
"first_name": "GAIL",
"middle_name": "CARMEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71004758A",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "71004758A",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TN",
"license": "17861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.