Organization Active NPI

Patricia J Weathington

  • Licensed Vocational Nurse
  • Fresno, CA
National Provider Identifier
1851627459
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN176064 Issued in CA
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

Updated by the provider on Nov 2, 2009

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)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
RVN000620OtherCAMEDI-CAL

Other names 1

  • Patricia J Weathington Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.