Individual provider Active NPI

Charonda Patrice Farrington, R.N.

  • General Practice Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1902135825
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
153645-030 Issued in WI
Practice address
4043 N 85TH St
Milwaukee, WI 53222-1818
Phone
(414) 841-6060
NPI assigned
Dec 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 153645-030 WI Primary

Addresses

Primary practice location

4043 N 85TH St
Milwaukee, WI 53222-1818

Mailing address

4043 N 85TH St
Milwaukee, WI 53222-1818
Phone (414) 841-6060

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

LicenseStateTypeSpecialty
153645-030WIMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1902135825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221818",
            "telephone_number": "414-841-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221818",
            "telephone_number": "414-841-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRINGTON",
        "first_name": "CHARONDA",
        "middle_name": "PATRICE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "153645-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.