Individual provider Active NPI

Jodi Farda, RN

  • Registered Nurse
  • Gloversville, NY
National Provider Identifier
1437813359
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
818315-01 Issued in NY
Practice address
847 County Highway 122
Gloversville, NY 12078-6413
Phone
(518) 773-3400
Fax
(518) 725-8686
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 818315-01 NY Primary

Addresses

Primary practice location

847 County Highway 122
Gloversville, NY 12078-6413

Mailing address

847 County Highway 122
Gloversville, NY 12078-6413
Phone (518) 773-3400

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
818315-01NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1437813359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 COUNTY HIGHWAY 122",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786413",
            "telephone_number": "518-773-3400",
            "fax_number": "518-725-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 COUNTY HIGHWAY 122",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786413",
            "telephone_number": "518-773-3400",
            "fax_number": "518-725-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARDA",
        "first_name": "JODI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "818315-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.