Active NPI
Jenny Dara McFarlin
- Nurse's Aide
- Wasilla, AK
National Provider Identifier
1124234158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 100087
- Practice address
- 7362 W Parks Hwy # 823
Wasilla, AK 99654-9132 - Phone
- (907) 357-8049
- Fax
- (907) 357-8049
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 100087 | AK | Primary |
Addresses
Primary practice location
7362 W Parks Hwy # 823
Wasilla, AK 99654-9132
Mailing address
7362 W Parks Hwy # 823
Wasilla, AK 99654-9132
Phone (907) 357-8049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL 8787 & HC8787 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100087 | AK | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124234158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7362 W PARKS HWY # 823",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549132",
"telephone_number": "907-357-8049",
"fax_number": "907-357-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7362 W PARKS HWY # 823",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549132",
"telephone_number": "907-357-8049",
"fax_number": "907-357-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFARLIN",
"first_name": "JENNY",
"middle_name": "DARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AK",
"license": "100087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL 8787 & HC8787",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.