Individual provider Active NPI

Noela Fake Nfor

  • Licensed Vocational Nurse
  • Richardson, TX
National Provider Identifier
1780282921
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
350871 Issued in TX
Practice address
430 Buckingham Rd Apt 1523
Richardson, TX 75081-5764
Phone
(202) 384-9124
NPI assigned
Oct 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 350871 TX Primary

Addresses

Primary practice location

430 Buckingham Rd Apt 1523
Richardson, TX 75081-5764

Mailing address

430 Buckingham Rd
Richardson, TX 75081-5706
Phone (202) 384-9124

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
350871TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1780282921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815706",
            "telephone_number": "202-384-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BUCKINGHAM RD APT 1523",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815764",
            "telephone_number": "202-384-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NFOR",
        "first_name": "NOELA",
        "middle_name": "FAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "350871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.