Individual provider Active NPI

Donna Louise Fifield, LICENSED PRACTICAL N

  • Licensed Practical Nurse
  • Clay, NY
National Provider Identifier
1669672028
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
152487-1 Issued in NY
Practice address
4664 RT. 31
Clay, NY 13041-8629
Phone
(315) 430-2337
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 152487 NY
Licensed Practical Nurse 164W00000X 152487-1 NY Primary

Addresses

Primary practice location

4664 RT. 31
Clay, NY 13041-8629

Mailing address

4664 RT. 31
Clay, NY 13041-8629
Phone (315) 430-2337

Other identifiers 2

IdentifierTypeStateIssuer
152487-1OtherNYPROFESSIONAL NURSING LICENSE
02022948MedicaidNY

Other names 1

  • Ms. Donna L. Hart Former name

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

LicenseStateTypeSpecialty
152487NYMDLicensed Practical Nurse
152487-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1669672028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 RT. 31",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418629",
            "telephone_number": "315-430-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 RT. 31",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418629",
            "telephone_number": "315-430-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFIELD",
        "first_name": "DONNA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "152487",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "152487-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL NURSING LICENSE",
            "identifier": "152487-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HART",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "L.P.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.