MS. KELLI ANN FAUST (NPI# 1093055261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093055261 |
| Entity Type | Individual |
| Full Name | MS. KELLI ANN FAUST |
| Credential | REGISTERED NURSE |
| Practice Address |
135 W Main St Chehalis WA 98532-4817 |
| Practice Telephone | 3607486696 |
| Practice Fax Number | 3607480627 |
| Mailing Telephone | 3607486696 |
| Mailing Fax Number | 3607480627 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
60321862 | WA | Nursing Service Providers |
| Street Address |
135 W MAIN ST |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255943 | Crystal Dawn Wilson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-05-04 |
| 1225659212 | Michael Koplin | Peer Specialist | 135 W Main St, Chehalis, WA 98532-4817 | 2020-04-30 |
| 1396375002 | Erica Renee Gavin | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-01-22 |
| 1639731755 | Breeann Delynn Bryson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-06-28 |
| 1730749987 | Joseph Seung Chinn | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-06-19 |
| 1518522929 | Safiyatu Njai | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-05-01 |
| 1114581261 | Nickolas Casey Root | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-04-24 |
| 1972061653 | Jason Still | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-03-12 |
| 1285192567 | Meagan Marina Gallegos | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-03-06 |
| 1336606888 | Whitney Felkl | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351717 | Charlotte Gex Morgan | Registered Nurse | 57 W Main St Ste 260, Chehalis, WA 98532-4815 | 2018-09-25 |
| 1154959260 | Rebecca Cathryne Hulstein | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-04-01 |
| 1740310903 | Jason R Peterman | Registered Nurse | 135 W Main St, Chehalis, WA 98532-4817 | 2007-03-06 |
| 1639226855 | Mary Eileen Mcgorry | Registered Nurse | 135 W Main St, Chehalis, WA 98532-4817 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848561 | Heidi Lynnette Kangas | Registered Nurse | 1128 Broadway St, Longview, WA 98632-3831 | 2020-10-09 |
| 1184235418 | Afuthal Ndugwa Ssemakula | Registered Nurse | 614 Riverside Dr Apt B103, Wenatchee, WA 98801-6154 | 2020-08-11 |
| 1225671969 | Virginia Hadley | Registered Nurse | 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 | 2019-10-25 |
| 1114569464 | Diana Wilcox | Registered Nurse | 2011 Mottman Rd Sw, Tumwater, WA 98512-6218 | 2019-10-08 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1821571050 | Kimberlee Susan Long | Registered Nurse | 4104 Puffin Rd, Ferndale, WA 98248-9579 | 2018-09-13 |
| 1235669607 | Bridget Lash | Registered Nurse | 4319 Tyler Way, Anacortes, WA 98221-3215 | 2017-06-18 |
| 1174072623 | Vicki Boothe | Registered Nurse | 26254 Ne Barrett Rd, Kingston, WA 98346-9342 | 2016-09-26 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1265897110 | Lauren Mitchell | Registered Nurse | 8007 Ne 38th Ave, Vancouver, WA 98665-1159 | 2015-12-19 |
| 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.