Active NPI
Rhonda Farley, RNFA
- Registered Nurse First Assistant
- Normal, IL
National Provider Identifier
1295093649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 239000163
- Practice address
- 1604 Visa Dr
Suite 1
Normal, IL 61761-2195 - Phone
- (309) 846-4716
- Fax
- (309) 454-7314
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 239000163 | IL | Primary |
Addresses
Primary practice location
1604 Visa Dr
Suite 1
Normal, IL 61761-2195
Mailing address
1604 Visa Dr
Suite 1
Normal, IL 61761-2195
Phone (309) 846-4716
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 |
|---|---|---|---|
| 239000163 | IL | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1295093649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 VISA DR",
"address_2": "SUITE 1",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612195",
"telephone_number": "309-846-4716",
"fax_number": "309-454-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 VISA DR",
"address_2": "SUITE 1",
"city": "NORMAL",
"state": "IL",
"postal_code": "617612195",
"telephone_number": "309-846-4716",
"fax_number": "309-454-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "RHONDA",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "IL",
"license": "239000163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.