Individual provider Active NPI

Nicola Ann Farmer, FNP-C

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1023576808
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26087 Issued in TN
Practice address
111 Westwood PL Ste 100
Brentwood, TN 37027-5057
Phone
(615) 762-3350
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN182195 GA
Family Nurse Practitioner 363LF0000X 26087 TN Primary

Addresses

Primary practice location

111 Westwood PL Ste 100
Brentwood, TN 37027-5057

Mailing address

5025 Gooden LN
Hixson, TN 37343-5337
Phone (423) 385-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240417000957 TN Practitioner - Nurse Practitioner 9931548443 Reassigns benefits to 1 organization
I20250325000434 KY Practitioner - Nurse Practitioner 9931548443 Reassigns benefits to 1 organization
I20250404001120 MD Practitioner - Nurse Practitioner 9931548443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN182195GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiras Health, Inc. Family CurrentSince Mar 5, 2024 Accepting new patients
Spiras Health of Kansas, LLC Family PastSince Jan 21, 2024 Accepting new patients

Locations

1680 Campbell Ln
Ste 109
Bowling Green, KY 42104
Phone (629) 240-5023

822 Guilford Ave
#1426
Baltimore, MD 21202
Phone (629) 240-5023

111 Westwood Pl
Ste 100
Brentwood, TN 37027
Phone (629) 204-5911

100 Winners Cir N
Ste 100
Brentwood, TN 37027
Phone (855) 638-9596

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1023576808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 GOODEN LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435337",
            "telephone_number": "423-385-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275057",
            "telephone_number": "615-762-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "NICOLA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN182195",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.