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MS. FAITH SUSAN SIMON FNP
NPI 1427078245
Nurse Practitioner in Mendocino, CA

Active since July 21, 2006
45081 LITTLE LAKE STREET, MENDOCINO, CA 95460(707) 937-1055(707) 937-1061 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Faith Susan Simon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. FAITH SUSAN SIMON FNP (NPI 1427078245) is an individual nurse practitioner in Mendocino, California, licensed in California (10815) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1427078245
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. FAITH SUSAN SIMONCredential: FNP
Location Address45081 LITTLE LAKE STREETMendocino, CA 95460
Mailing AddressPo Box 38Mendocino, CA 95460 · (707) 937-1055 · Fax (707) 937-1061
Phone(707) 937-1055
Fax(707) 937-1061
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1427078245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 10815
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
45081 LITTLE LAKE STREET, Mendocino, CA 95460
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Other Identifiers 5

Medicaid1427078245CA
OtherNPF10815CA · License Number
Medicare PINCL748YCA
OtherRN422135CA · License Number
OtherP00872334CA · Railroad Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY A BERENSON MD A PROFESSIONAL CORPORATION
Internal Medicine
45081 LITTLE LAKE STREET
MENDOCINO, CA 95460
Mendocino County (707) 937-1055
JEFFREY ALAN BERENSON MD
Internal Medicine
45081 LITTLE LAKE STREET
MENDOCINO, CA 95460
Mendocino County (707) 937-1055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faith Simon's NPI number?

The NPI number for Faith Simon is 1427078245. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Faith Simon located?

Faith Simon practices at 45081 Little Lake Street, Mendocino, CA 95460. The listed phone number is (707) 937-1055.

What is Faith Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Faith Simon was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.