Farrah Black, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299713 Issued in NY

Practice address

1 Phyllis Cir
Garnerville, NY 10923-1015

Phone

(845) 358-8816

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1285999896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PHYLLIS CIR",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHYLLIS CIR",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231015",
            "telephone_number": "845-358-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "FARRAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselene Peggy Beauchard, LPN
• Shaquan Belizaire
• Christine A Benvenuto, M.S., CF-SLP-TSSLD
• Mary Joyce Katimbang Berlanga, ACNPC-AG, MSN, CCRN
• Rubina Bhatia, M.D.
• Jared Boateng, RN
• Katelynn Bowen, RN
• Meghan Lynn Brassfield, MSED
• Bradley Deane Breeding, RPH
• Erica Brentnall

• Licensed Practical Nurse in Garnerville, NY
• Providers in Garnerville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.