KRISTINE M. FADDISSTUART – NPI #1891635520
Peer Specialist
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.
KRISTINE FADDISSTUART is a peer specialist located in SAN ANDREAS, CA. NPPES recently assigned the NPI number 1891635520 to KRISTINE FADDISSTUART on March 31, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.
See the complete NPI profile for KRISTINE FADDISSTUART below.
NPI Profile for
KRISTINE M. FADDISSTUART
(about 2 months ago)
SAN ANDREAS, CA 95249-9713 Phone: (209) 754-6562 Fax:
VALLECITO, CA 95251-9603 Phone: (209) 256-0249 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 175T00000X - Peer Specialist (Primary) |
CA | MPSS-RMODKG |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.