Active NPI
Abbie E Farrell, DENTAL HYGIENE
- Dental Hygienist
- Clarkston, WA
National Provider Identifier
1194026674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH60173612
- Practice address
- 844 6TH St
Clarkston, WA 99403-2013 - Phone
- (208) 848-8308
- Fax
- (509) 444-7806
- NPI assigned
- Nov 15, 2010
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH60173612 | WA | Primary |
Addresses
Primary practice location
844 6TH St
Clarkston, WA 99403-2013
Mailing address
203 N Washington St Ste 300
Spokane, WA 99201-0233
Phone (509) 444-8888
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 |
|---|---|---|---|
| DH60173612 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1194026674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N WASHINGTON ST STE 300",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010233",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032013",
"telephone_number": "208-848-8308",
"fax_number": "509-444-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ABBIE",
"middle_name": "E",
"credential": "DENTAL HYGIENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-15",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH60173612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.