Faith Calaminos Heisler, MD
Individual provider Active NPI Family Medicine Physician · Olympia, WA
NPI 1992295505 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1992295505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ML60866544 (WA)
- Practice address
- 525 Lilly Rd NE
Olympia, WA 98506-5101 - Phone
- (360) 493-7230
- NPI assigned
- May 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Washington
Practice addresses (Care Compare)
525 Lilly Rd NE
Olympia, WA 98506-5101
Phone (360) 493-7230
Hospital & facility affiliations
- Providence St Peter Hospital
- Providence Centralia Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210805002804 | WA | Practitioner - Family Practice | 0840542585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Family Medicine | Current |
Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Interoperability endpoints
- fcalaminos922840@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML60866544 | WA | Yes |
Addresses
Primary practice location
525 Lilly Rd NE
Olympia, WA 98506-5101
Mailing address
525 Lilly Rd NE
Olympia, WA 98506-5101
Phone (360) 493-7230
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fcalaminos922840@wm.providencedirect.org | Direct |
NPI Registry JSON
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1992295505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065101",
"telephone_number": "360-493-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065101",
"telephone_number": "360-493-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISLER",
"first_name": "FAITH",
"middle_name": "CALAMINOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60866544",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fcalaminos922840@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "525 Lilly Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Olympia, WA
- Richard Duane Hehn
- Tiffany Heiges
- Norman Hein
- David Heinitz
- Lisa Vivian Heiser
- Stephine A Heitkemper
- Jody Lynn Heller
- Zoe Rita Hellrigel
- Michael Helm Jr.
- Thomas Helpenstell
All providers in Olympia, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.