Individual provider Active NPI

David A Ferraro, LPN

  • Licensed Practical Nurse
  • Cookeville, TN
National Provider Identifier
1124366513
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
81678 Issued in TN
Practice address
1101 Neal St
Cookeville, TN 38501-0901
Phone
(931) 528-8593
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 81678 TN Primary

Addresses

Primary practice location

1101 Neal St
Cookeville, TN 38501-0901

Mailing address

4398 Ensor Hollow Rd
Buffalo Valley, TN 38548-5432
Phone (931) 319-3206

Other identifiers 1

IdentifierTypeStateIssuer
81678OtherTNLPN LICENSE

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

LicenseStateTypeSpecialty
81678TNMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1124366513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4398 ENSOR HOLLOW RD",
            "city": "BUFFALO VALLEY",
            "state": "TN",
            "postal_code": "385485432",
            "telephone_number": "931-319-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010901",
            "telephone_number": "931-528-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "81678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "81678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.