Individual provider Active NPI

Debbie Fearon

  • Registered Nurse
  • Cartersville, GA
National Provider Identifier
1750810693
Registry record updated Nov 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN234599 Issued in GA
Practice address
523 Mountain Chase
Cartersville, GA 30120
Phone
(347) 584-7109
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 422210-1 NY
Registered Nurse 163W00000X RN234599 GA Primary

Addresses

Primary practice location

523 Mountain Chase
Cartersville, GA 30120

Mailing address

523 Mountain Chase
Cartersville, GA 30120-8520

Other practice location 1

1426 E 51st St
Brooklyn, NY 11234-3202
Phone (347) 584-7109

Other practice location 2

1426 E 51st St
Brooklyn, NY 11234-3202
Phone (347) 584-7109

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
RN234599GAMDRegistered Nurse
422210-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1750810693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 MOUNTAIN CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 MOUNTAIN CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "347-584-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 E 51st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343202",
            "country_code": "US",
            "telephone_number": "347-584-7109",
            "fax_number": "347-584-7109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1426 E 51st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343202",
            "country_code": "US",
            "telephone_number": "347-584-7109",
            "fax_number": "347-584-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEARON",
        "first_name": "DEBBIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "422210-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN234599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; 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.