Active NPI
Paulette Faye Patterson, RN
- Registered Nurse
- Gary, IN
National Provider Identifier
1912427428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28235143A
- Practice address
- 1100 W 6TH Ave
Gary, IN 46402-1711 - Phone
- (219) 240-8805
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.429529 | IL | |
| Registered Nurse | 163W00000X | 28235143A | IN | Primary |
Addresses
Primary practice location
1100 W 6TH Ave
Gary, IN 46402-1711
Mailing address
1100 W 6TH Ave
Gary, IN 46402-1711
Phone (219) 885-4264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041.429529 | IL | MD | Registered Nurse |
| 28235143A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1912427428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 6TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464021711",
"telephone_number": "219-885-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 6TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464021711",
"telephone_number": "219-240-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "PAULETTE",
"middle_name": "FAYE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.429529",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28235143A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.