GAIL CARMEN FAUST (NPI# 1912330549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912330549 |
Entity Type | Individual |
Full Name | GAIL CARMEN FAUST |
Credential | NP |
Practice Address |
415 N 26th St Ste 202 Lafayette IN 47904-2856 |
Mailing Address |
415 N 26th St Ste 201 Lafayette IN 47904-2856 |
Practice Telephone | 7656072001 |
Practice Fax Number | 7656072002 |
Mailing Telephone | 7654466549 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
17861 | TN | Behavioral Health & Social Service Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71004758A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
71004758A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
201 W Springdale Ave, Knoxville, TN 379175158 | 8656379711 |
Street Address |
415 N 26TH ST STE 202 |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649344227 | Leta Marie Bennison | Nurse Practitioner | 415 N 26th St Ste 202, Lafayette, IN 47904-2856 | 2006-11-17 |
1629630900 | Krista Erin Nestlehut | Nurse Practitioner | 415 N 26th St Ste 202, Lafayette, IN 47904-2856 | 2019-07-08 |
1720142698 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 415 N 26th St Ste 202, Lafayette, IN 47904-2849 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053780718 | Elizabeth Mcquinn | Clinical Nurse Specialist | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2015-09-23 |
1396081063 | Faye E. Rupert | Clinical Nurse Specialist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2012-12-27 |
1972861367 | Olive Tree Place Inc. | Clinical Nurse Specialist | 2218 Main St, Suite E, Lafayette, IN 47904-3614 | 2012-04-24 |
1255542239 | Megan O'connell | Clinical Nurse Specialist | 610 Main St, Lafayette, IN 47901-1451 | 2007-05-24 |
1073656138 | Judy Blanchard Loudon | Clinical Nurse Specialist | 610 Main St, Lafayette, IN 47901-1451 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.