Active NPI
Patricia J Weathington
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1851627459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN176064
- Legal business name
- PATRICIA J WEATHINGTON
- Practice address
- 4762 W Jennifer Ave Ste 102
Fresno, CA 93722-6423 - Phone
- (623) 247-2182
- NPI assigned
- Nov 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia J Weathington, LPN
- Title
- Health Minister/ Pastoral Counselor
- Phone
- (623) 247-2182
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN176064 | CA | Primary |
| Nursing Care Agency | 251J00000X | LP036459 | AZ |
Addresses
Primary practice location
4762 W Jennifer Ave Ste 102
Fresno, CA 93722-6423
Mailing address
4762 W Jennifer Ave Ste 102
Fresno, CA 93722-6423
Phone (623) 247-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RVN000620 | Other | CA | MEDI-CAL |
Other names 1
- Patricia J Weathington
National Provider Directory
National Provider DirectoryLocations
4762 W Jennifer Ave
Ste 102
Fresno, CA 93722
Phone (623) 247-2182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1851627459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4762 W JENNIFER AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226423",
"telephone_number": "623-247-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4762 W JENNIFER AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226423",
"telephone_number": "623-247-2182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA J WEATHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "WEATHINGTON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "HEALTH MINISTER/ PASTORAL COUNSELOR",
"authorized_official_telephone_number": "623-247-2182",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN176064",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AZ",
"license": "LP036459",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "RVN000620",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Patricia J Weathington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.