Active NPI
Cornelia Farr
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1215208558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2266-C
- Practice address
- 5130 Vincitor St
Las Vegas, NV 89135-3223 - Phone
- (702) 255-2916
- Fax
- (702) 255-2916
- NPI assigned
- Jan 18, 2012
- Last updated
- Jan 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2266-C | NV | Primary |
| Clinical Social Worker | 1041C0700X | 2266-C | NV |
Addresses
Primary practice location
5130 Vincitor St
Las Vegas, NV 89135-3223
Mailing address
5130 Vincitor St
Las Vegas, NV 89135-3223
Phone (702) 255-2916
Other names 1
- Cornelia Farr
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 |
|---|---|---|---|
| 2266-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1215208558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 VINCITOR ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353223",
"telephone_number": "702-255-2916",
"fax_number": "702-255-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 VINCITOR ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353223",
"telephone_number": "702-255-2916",
"fax_number": "702-255-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "CORNELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "2266-C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "2266-C",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORNELIA",
"last_name": "FARR",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.