Active NPI
Donna Farrell, RN
- Nutrition Support Registered Nurse
- Whitesboro, NY
National Provider Identifier
1790307833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Registered Nurse
- License
- 618129-1
- Practice address
- 118 Clarion Dr
Whitesboro, NY 13492-2905 - Phone
- (315) 736-0022
- NPI assigned
- May 12, 2020
- Last updated
- May 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | 618129-1 | NY | Primary |
Addresses
Primary practice location
118 Clarion Dr
Whitesboro, NY 13492-2905
Mailing address
118 Clarion Dr
Whitesboro, NY 13492-2905
Phone (315) 736-0022
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618129-1 | NY | MD | Nutrition Support Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1790307833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CLARION DR",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134922905",
"telephone_number": "315-736-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CLARION DR",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134922905",
"telephone_number": "315-736-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "DONNA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "NY",
"license": "618129-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.