Fadeke Justina Fenske, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

166158-7 Issued in MN

Practice address

1285 70TH St W
Inver Grove Heights, MN 55077-2305

Phone

(651) 497-1602

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fadekemi Justina Fenske Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1881910776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 70TH ST W",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772305",
            "telephone_number": "651-497-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 70TH ST W",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772305",
            "telephone_number": "651-497-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "FADEKE",
        "middle_name": "JUSTINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "166158-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FADEKEMI",
            "last_name": "FENSKE",
            "middle_name": "JUSTINA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ross Mitchell Erickson
• Valerie Evje, MD
• Family Allergy & Asthma Specialists PA
• Family Healthservices Minnesota, P.a
• Tiffany Farrow
• Anthony B Ferrara, MD
• Filipinoamerican Health Services PLC
• Sofie L Fitzsimmons, CCC-SLP
• Meagan Marie Flom, OTR/L
• Courtney Forschen

• Registered Nurse in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.