Individual provider Active NPI

Nancy Jean Farrell, RN

  • Psychiatric/Mental Health Registered Nurse
  • West Union, OH
National Provider Identifier
1134638166
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN-279205 Issued in OH
Practice address
116 W Mulberry St
West Union, OH 45693-1300
Phone
(937) 779-3021
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN-279205 OH Primary

Addresses

Primary practice location

116 W Mulberry St
West Union, OH 45693-1300

Mailing address

1835 Calvary Rd
Seaman, OH 45679-9543
Phone (937) 798-5357

Other practice location 1

104 Erin Ct
Hillsboro, OH 45133-8591
Phone (937) 393-4562

Other practice location 2

313 Chillicothe Ave
Hillsboro, OH 45133-7378
Phone (937) 393-0585

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-279205OHMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
FRS Counseling PastSince Mar 6, 2018 Accepting new patients
FRS Counseling PastSince Aug 14, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134638166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CALVARY RD",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456799543",
            "telephone_number": "937-798-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MULBERRY ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931300",
            "telephone_number": "937-779-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Erin Ct",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451338591",
            "country_code": "US",
            "telephone_number": "937-393-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Chillicothe Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451337378",
            "country_code": "US",
            "telephone_number": "937-393-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN-279205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.