Active NPI
Katherine Farris, M.D.
- Family Medicine Physician
- Winston Salem, NC
National Provider Identifier
1013988989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009-00506
- Practice address
- 3000 Maplewood Ave
Suite 112
Winston Salem, NC 27103-4002 - Phone
- (336) 768-2980
- Fax
- (336) 765-6599
- NPI assigned
- Jan 30, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 217062 | MA | |
| Family Medicine Physician | 207Q00000X | 2009-00506 | NC | Primary |
Addresses
Primary practice location
3000 Maplewood Ave
Suite 112
Winston Salem, NC 27103-4002
Mailing address
100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017661 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-00506 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood South Atlantic | Past | Accepting new patients | |
| Planned Parenthood South Atlantic | Past | Accepting new patients | |
| Planned Parenthood South Atlantic | Past | Accepting new patients | |
| Planned Parenthood Health Systems, Inc | Past | Accepting new patients | |
| Heywood Medical Group Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- katherine.farris.p12@direct.bhplannedparenthood.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Advanced Practice Midwife
- Raleigh, NC
- NPI 1811033210
-
- Ambulatory Family Planning Facility
- Columbia, SC
- NPI 1851438147
-
- Women's Health Nurse Practitioner
- Roanoke, VA
- NPI 1134214968
-
- Nurse Practitioner
- Vienna, WV
- NPI 1801932199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1013988989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S BOYLAN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031802",
"telephone_number": "919-833-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MAPLEWOOD AVE",
"address_2": "SUITE 112",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034002",
"telephone_number": "336-768-2980",
"fax_number": "336-765-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "KATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "217062",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2009-00506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017661",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.