MADELINE RENEE FARMER NPI 1063157709

NPI Information

  • NPI: 1063157709
  • Provider Name: MADELINE RENEE FARMER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 2489 LAKE TAHOE BLVD STE 23
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 578-3839

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NPI Details

Madeline Renee Farmer is a student in an organized health care education training program in South Lake Tahoe, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Madeline Renee Farmer NPI is 1063157709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2489 LAKE TAHOE BLVD STE 23
SOUTH LAKE TAHOE, CA
ZIP 96150-739
Phone: (530) 578-3839

The enumeration date for this NPI number is 4/27/2022 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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