Billie Irene McFadden, LPN – Licensed Practical Nurse

Key facts

NPI: 1033260484
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Practical Nurse 164W00000X
License: 089433-1 (NY)
Practice address: 42 North Dr
Saugerties, NY 12477-4726
Phone: (845) 383-3676
NPI assigned: Jan 14, 2007
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
089433-1	NY	MD	Licensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Practical Nurse	164W00000X	089433-1	NY	Yes

Addresses

Primary practice location

42 North Dr
Saugerties, NY 12477-4726

Mailing address

42 North Dr
Saugerties, NY 12477-4726
Phone (845) 383-3676

Other identifiers

Identifier	Type	State	Issuer
089433-1	Other	NY	LPN LICENES NUMBER
02683434	Medicaid	NY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033260484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NORTH DR",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124774726",
            "telephone_number": "845-383-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NORTH DR",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124774726",
            "telephone_number": "845-383-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "BILLIE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "089433-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENES NUMBER",
            "identifier": "089433-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02683434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

All providers in Saugerties, NY · Licensed Practical Nurse in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.