MRS. EDITH MOODY FAULKNER FNP-C NPI 1134460736

NPI Information

  • NPI: 1134460736
  • Provider Name: MRS. EDITH MOODY FAULKNER, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1205 HIGHWAY 182 W STE B
    STARKVILLE, MS
    ZIP 39759
  • Phone: (662) 377-5199

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NPI Details

MRS. Edith Moody Faulkner, FNP-C is a family nurse practitioner in Starkville, MS with 13 years of experience. MRS. Edith Moody Faulkner, FNP-C NPI is 1134460736. 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:

1205 HIGHWAY 182 W STE B
STARKVILLE, MS
ZIP 39759-820
Phone: (662) 377-5199
Fax: (662) 377-2264

The NPI 1134460736 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month (HCPCS:G2087)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Annual depression screening, 15 minutes (HCPCS:G0444)

The enumeration date for this NPI number is 3/6/2013 and was last updated on 3/12/2024.

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
1363LF0000XNurse PractitionerFamilyR865568MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008880771MEDICAIDMISSISSIPPI

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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