Active NPI
Joanna Farragher, CNP
- Adult Health Nurse Practitioner
- Wadsworth, OH
National Provider Identifier
1164609368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP-03259
- Practice address
- 5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078 - Phone
- (330) 239-4455
- Fax
- (330) 239-4456
- NPI assigned
- Jan 30, 2008
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP-03259 | OH | Primary |
Addresses
Primary practice location
5133 Ridge Rd Ste 1
Wadsworth, OH 44281-8078
Mailing address
24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (330) 239-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077727 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-03259 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Past | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UPCP Inc
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
-
dba UH North Olmsted Urgent Care
- Urgent Care Clinic/Center
- North Olmsted, OH
- NPI 1467533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1164609368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR BILLING SERVICES",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "330-239-4455",
"fax_number": "330-239-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5133 RIDGE RD STE 1",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818078",
"telephone_number": "330-239-4455",
"fax_number": "330-239-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAGHER",
"first_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP-03259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077727",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.