Active NPI
Opal Anna Farwell, SLP, M.A.-CCC
- Speech-Language Pathologist
- Walhalla, SC
National Provider Identifier
1063930782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6335
- Practice address
- 225 Coffee Rd
Walhalla, SC 29691-1777 - Phone
- (864) 886-4470
- Fax
- (864) 886-4471
- NPI assigned
- Sep 1, 2017
- Last updated
- Sep 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6335 | SC | Primary |
Addresses
Primary practice location
225 Coffee Rd
Walhalla, SC 29691-1777
Mailing address
414 S Pine St
Walhalla, SC 29691-2146
Phone (864) 886-4400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6335 | SC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School District of Oconee County | Speech-Language Pathologist | Past | Accepting new patients |
| School District of Oconee County | Past | Accepting new patients | |
| Cortica Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Walhalla, SC
- NPI 1134565393
-
- Local Education Agency (LEA)
- Walhalla, SC
- NPI 1578515649
-
dba Pediatric Neurology Therapeutics PC
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1063930782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 S PINE ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296912146",
"telephone_number": "864-886-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 COFFEE RD",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296911777",
"telephone_number": "864-886-4470",
"fax_number": "864-886-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARWELL",
"first_name": "OPAL",
"middle_name": "ANNA",
"credential": "SLP, M.A.-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walhalla, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.