Active NPI
Theresa Faust, PA
- Physician Assistant
- Lihue, HI
National Provider Identifier
1952829293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD780
- Practice address
- 3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098 - Phone
- (808) 246-1357
- NPI assigned
- Sep 7, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD780 | HI | Primary |
Addresses
Primary practice location
3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098
Mailing address
706 Traveler LN
Madison, WI 53718-3142
Phone (608) 225-7238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171113003656 | HI | Practitioner - Physician Assistant | 0143586826 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kauai Medical Clinic
Practice addresses (Care Compare)
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500
Hospital & facility affiliations
- Wilcox Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMD780 | HI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai Medical Clinic | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients |
Locations
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Koloa, HI
- NPI 1871611558
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1952829293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 TRAVELER LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537183142",
"telephone_number": "608-225-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3-3420 KUHIO HWY STE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661098",
"telephone_number": "808-246-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "THERESA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.