Active NPI
Linda M Farley, MS CCCA
- Audiologist
- Hazleton, PA
National Provider Identifier
1194724468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000056L
- Practice address
- 1523 N Church St
Hazleton, PA 18202 - Phone
- (570) 454-8404
- Fax
- (570) 454-8404
- NPI assigned
- Jul 19, 2005
- Reactivated
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000056L | PA | Primary |
Addresses
Primary practice location
1523 N Church St
Hazleton, PA 18202
Mailing address
1523 N Church St
Hazleton, PA 18202
Phone (570) 454-8404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014129200005 | Medicaid | PA | |
| 207475 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000718 | PA | Practitioner - Qualified Audiologist | 2466647615 | Practice locations: Hazleton, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1194724468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 N CHURCH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "18202",
"telephone_number": "570-454-8404",
"fax_number": "570-454-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 N CHURCH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "18202",
"telephone_number": "570-454-8404",
"fax_number": "570-454-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS CCCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2007-08-09",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000056L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014129200005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "207475",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.