1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Licensed Practical Nurse
  6. NPI Profile

KHADIJAH MCFADDEN
NPI 1649775560
Licensed Practical Nurse in Rochester, NY

Active since March 25, 2018
36 SPRUCE AVE, ROCHESTER, NY 14611(585) 802-6643 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Jun 18, 2020, Mar 25, 2018 (3 updates tracked since 2018).

About Khadijah Mcfadden NPPES

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

KHADIJAH MCFADDEN (NPI 1649775560) is an individual licensed practical nurse in Rochester, New York, licensed in New York (331150) and active in the NPI registry since March 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649775560
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKHADIJAH MCFADDEN
Location Address36 SPRUCE AVERochester, NY 14611-4024
Mailing Address36 Spruce AveRochester, NY 14611-4024 · (585) 802-6643
Phone(585) 802-6643
Sole ProprietorYes
Enumeration DateMarch 25, 2018
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1649775560 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 NY · 331150
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.
36 SPRUCE AVE, Rochester, NY 14611
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1166 Clairmount StRochester, NY 14621-4236 · Phone (585) 498-0251
Location 2108 Van Auker StRochester, NY 14608-2170 · Phone (585) 635-0128 · Fax (585) 635-0128

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 Khadijah Mcfadden's NPI number?

The NPI number for Khadijah Mcfadden is 1649775560. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Khadijah Mcfadden located?

Khadijah Mcfadden practices at 36 Spruce Ave, Rochester, NY 14611. The listed phone number is (585) 802-6643.

What is Khadijah Mcfadden'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 Khadijah Mcfadden was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.