Faith Ann Provost, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304197 Issued in NY

Practice address

7053 Route 209
Kerhonkson, NY 12446-2954

Phone

(845) 665-5152

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1972955581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 ROUTE 209",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124462954",
            "telephone_number": "845-665-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 ROUTE 209",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124462954",
            "telephone_number": "845-665-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "FAITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Andrew Merrick, SLP
• Katelyn Morvillo
• Joanna Nadoolman, M.A., C.C.C.-SLP
• Carlos Perez, MSPT
• Tammi Price, NMD, ACCUPUNTURIST
• Haseeb Ur Rahman, PHARMD
• Muhammad Atiqur Rahman, RPH
• William Joseph Redding, DMD
• Matthew Dylan Rogers, PT, DPT
• Leanna M. Roland, LPN

• Licensed Practical Nurse in Kerhonkson, NY
• Providers in Kerhonkson, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.