Active NPI
Lorraine Fahrenkrug
- Case Manager/Care Coordinator
- Marathon, FL
National Provider Identifier
1912507120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3000 41St Street Ocean
Marathon, FL 33050-2373 - Phone
- (305) 434-7660
- NPI assigned
- Oct 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3000 41St Street Ocean
Marathon, FL 33050-2373
Mailing address
3000 41St Street Ocean
Marathon, FL 33050-2373
Phone (305) 434-7660
Other names 1
- Lorraine O'Dell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1912507120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-434-7660",
"fax_number": "305-434-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-434-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRENKRUG",
"first_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "O'DELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.