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KRISTINE MAE FADDISSTUART
NPI 1891635520
Peer Specialist in San Andreas, CA

Active since March 31, 2026
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249(209) 754-6562 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristine Mae Faddisstuart NPPES

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

KRISTINE MAE FADDISSTUART (NPI 1891635520) is an individual peer specialist in San Andreas, California, licensed in California (MPSS-RMODKG) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1891635520
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISTINE MAE FADDISSTUART
Location Address590 TOYANZA DRIVESan Andreas, CA 95249-9713
Mailing Address1825 Live Oak DrVallecito, CA 95251-9603 · (209) 256-0249
Phone(209) 754-6562
Sole ProprietorYes
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1891635520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-RMODKG
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
590 TOYANZA DRIVE, San Andreas, CA 95249
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

COUNTY OF CALAVERAS
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
CARLEY MARTIN
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6572
ROBERT R FULGHAM SUDCC II
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
LYNDSI MARIE HOUSE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-2833
JOSHUA DAVID CHRISTIE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CHARLENE HERNANDEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (951) 543-0031
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CYNTHIA ANN LOPEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525

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 Kristine Faddisstuart's NPI number?

The NPI number for Kristine Faddisstuart is 1891635520. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Kristine Faddisstuart located?

Kristine Faddisstuart practices at 590 Toyanza Drive, San Andreas, CA 95249. The listed phone number is (209) 754-6562.

What is Kristine Faddisstuart's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kristine Faddisstuart was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.