Tina Facteau, BSN,RN,CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

442838 Issued in NY

Practice address

102 Park St
3Rd Floor Pruyn Pavilion
Glens Falls, NY 12801-4449

Phone

(518) 926-2610

Fax

(518) 926-2091

NPI assigned

Feb 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1962642397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "3RD FLOOR PRUYN PAVILION",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-2610",
            "fax_number": "518-926-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "3RD FLOOR PRUYN PAVILION",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-926-2610",
            "fax_number": "518-926-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACTEAU",
        "first_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "BSN,RN,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "442838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen D Ernst, M.D.
• Jason J Erwin, PHARMD
• Anne Evans, D.O.
• Robert Lapp Evans, D.O.
• F Franklin Westfall Jr MD
• Sarah Ann Fagan
• Family Nurse Practitioner and Certified Nurse Midwives of Malta, PLLC
• Stacey Farmer, PH.D.
• Marie Walla Farrell, RD
• Victoria Catherine Farrell, DNP, FNP-BC

• Diabetes Educator Registered Nurse in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.