Individual provider Active NPI

Ixia Ferran RN BSN, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Peekskill, NY
National Provider Identifier
1366808354
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
344848 Issued in NY
Practice address
194 Benefield Blvd
Peekskill, NY 10566-6813
Phone
(347) 992-5104
Fax
(914) 739-0235
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 344848 NY Primary
Administrator Registered Nurse 163WA2000X 344848 NY

Addresses

Primary practice location

194 Benefield Blvd
Peekskill, NY 10566-6813

Mailing address

194 Benefield Blvd
Peekskill, NY 10566-6813
Phone (347) 992-5104

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
344848NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1366808354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BENEFIELD BLVD",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105666813",
            "telephone_number": "347-992-5104",
            "fax_number": "914-739-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BENEFIELD BLVD",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105666813",
            "telephone_number": "347-992-5104",
            "fax_number": "914-739-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAN RN BSN",
        "first_name": "IXIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "344848",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "344848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.