Individual provider Active NPI

Antoinette Denise Faltz

  • Licensed Vocational Nurse
  • Virginia Beach, VA
National Provider Identifier
1992420517
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
345898 Issued in TX
Practice address
1728 Virginia Beach Blvd Ste 113
Virginia Beach, VA 23454-4533
Phone
(757) 437-0411
Fax
(757) 552-0378
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 345898 TX Primary

Addresses

Primary practice location

1728 Virginia Beach Blvd Ste 113
Virginia Beach, VA 23454-4533

Mailing address

1728 Virginia Beach Blvd Ste 113
Virginia Beach, VA 23454-4533
Phone (757) 437-0411

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
345898TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1992420517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 VIRGINIA BEACH BLVD STE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544533",
            "telephone_number": "757-437-0411",
            "fax_number": "757-552-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 VIRGINIA BEACH BLVD STE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544533",
            "telephone_number": "757-437-0411",
            "fax_number": "757-552-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTZ",
        "first_name": "ANTOINETTE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "345898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.