Ryan Paul Favata, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

329330 Issued in NY

Practice address

1 Widger Rd
Spencerport, NY 14559-9751

Phone

(585) 694-5342

NPI assigned

Jan 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1902314412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599751",
            "telephone_number": "585-694-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599751",
            "telephone_number": "585-694-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVATA",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "329330",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal June Eichas, M.S., CCC-SLP, NYS-L
• Jennifer Eisenhauer
• Heather J Elias, OTR
• Amanda Jean Entress, MS OTR/L
• Traci-Lynn Marie Farley, M.S., CCC-A
• Heather L Fellows
• Elizabeth Feltner, MD
• Marina Z Fery
• Rebecca W Fisher, LPN
• Rachel Frate

• Licensed Practical Nurse in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.