DAKOTAH R FETTY LPN
NPI 1083411003
Licensed Practical Nurse in West Farmington, OH

Active since February 27, 2025
5338 OLD STATE RD, WEST FARMINGTON, OH 44491(440) 563-1586 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dakotah R Fetty Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAKOTAH R FETTY LPN (NPI 1083411003) is an individual licensed practical nurse in West Farmington, Ohio, licensed in Ohio (LPN.155586.MEDS-IV) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1083411003
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDAKOTAH R FETTYCredential: LPN
Location Address5338 OLD STATE RDWest Farmington, OH 44491-8743
Mailing AddressPo Box 165West Farmington, OH 44491-0165 · (405) 631-5864
Sole ProprietorYes
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1083411003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.155586.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5338 OLD STATE RD, West Farmington, OH 44491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dakotah Fetty's NPI number?

The NPI number for Dakotah Fetty is 1083411003. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Dakotah Fetty located?

Dakotah Fetty practices at 5338 Old State Rd, West Farmington, OH 44491. The listed phone number is (440) 563-1586.

What is Dakotah Fetty's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dakotah Fetty was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.