KRISTEN CONWAY FAKES NPI 1578349965

NPI Information

  • NPI: 1578349965
  • Provider Name: KRISTEN CONWAY FAKES
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1104 E GRACE ST
    RENSSELAER, IN
    ZIP 47978
  • Phone: (219) 866-5141

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NPI Details

Kristen Conway Fakes is a gerontology nurse practitioner in Rensselaer, IN with 4 years of experience. Kristen Conway Fakes NPI is 1578349965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1104 E GRACE ST
RENSSELAER, IN
ZIP 47978-211
Phone: (219) 866-5141
Fax: (218) 866-2070

The NPI 1578349965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2023 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner28240075AINDIANANo
2363LG0600XNurse PractitionerGerontology71014561AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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