Individual provider Active NPI

Andrea McFarlane, LICENSED NURSE

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1891993291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
286864 Issued in NY
Practice address
815 Penfield St
Apt 1R
Bronx, NY 10470-1341
Phone
(718) 519-0321
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 286864 NY Primary

Addresses

Primary practice location

815 Penfield St
Apt 1R
Bronx, NY 10470-1341

Mailing address

815 Penfield St
Apt 1R
Bronx, NY 10470-1341
Phone (718) 519-0321

Other identifiers 1

IdentifierTypeStateIssuer
02851316MedicaidNY

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
286864NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891993291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PENFIELD ST",
            "address_2": "APT 1R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701341",
            "telephone_number": "718-519-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENFIELD ST",
            "address_2": "APT 1R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701341",
            "telephone_number": "718-519-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLANE",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LICENSED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02851316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.