Tracia Shauna Fogarthy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304562-1 Issued in NY

Practice address

320 Beach 100TH St
Apt. 2M
Rockaway Park, NY 11694-2805

Phone

(347) 435-7399

NPI assigned

Mar 5, 2012

Last updated

Mar 5, 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

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1578837803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BEACH 100TH ST",
            "address_2": "APT. 2M",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942805",
            "telephone_number": "347-435-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEACH 100TH ST",
            "address_2": "APT. 2M",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942805",
            "telephone_number": "347-435-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTHY",
        "first_name": "TRACIA",
        "middle_name": "SHAUNA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304562-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Esposito, BCBA
• Bernadette Favard
• Marvin Feinstein, OD
• Josephine Fitzpatrick
• Danielle Flanigan, MD
• Lloyd G Forbes
• Trevor M. Foti, MHC-LP
• Nicholas Tafari Francis, LMSW
• Nicole Frontera, FNP
• Peter Andrew Galvin, MD

• Licensed Practical Nurse in Rockaway Park, NY
• Providers in Rockaway Park, 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 Mar 5, 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.