Khadijah McFadden

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

331150 Issued in NY

Practice address

36 Spruce Ave
Rochester, NY 14611-4024

Phone

(585) 802-6643

NPI assigned

Mar 25, 2018

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": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1649775560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SPRUCE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146114024",
            "telephone_number": "585-802-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SPRUCE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146114024",
            "telephone_number": "585-802-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Clairmount St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146214236",
            "country_code": "US",
            "telephone_number": "585-498-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Van Auker St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146082170",
            "country_code": "US",
            "telephone_number": "585-635-0128",
            "fax_number": "585-635-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "KHADIJAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin J McEvoy, PT
• Ny-Ja Kiara McEwen
• Paulette Patricia McEwen, CRPA
• Brittany McFadden
• Cassandra Dee McFadden, RN, LPN
• Laquonda McFadden, LPN
• Natasha Nicole McFadden, LPN
• Anela McFarland
• Daniel Curtis McFarland, D.O.
• Joel McFarland, M.D.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, 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 Oct 4, 2022; 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.