Active NPI
Jennnifer Beth Farnsworth, MSN, RNC-NIC, NNP-BC
- Critical Care Neonatal Nurse Practitioner
- Marquette, MI
National Provider Identifier
1235337809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 4704205361
- Practice address
- 580 W College Ave
Marquette, MI 49855-2705 - Phone
- (906) 225-4686
- Fax
- (190) 622-5719
- NPI assigned
- Jul 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 4704205361 | MI | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 4704205361 | MI | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | 4704205361 | MI |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855-2705
Mailing address
580 W College Ave
Marquette, MI 49855-2705
Phone (906) 225-4626
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704205361 | MI | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1235337809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552705",
"telephone_number": "906-225-4626",
"fax_number": "190-622-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552705",
"telephone_number": "906-225-4686",
"fax_number": "190-622-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "JENNNIFER",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "MSN, RNC-NIC, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "MI",
"license": "4704205361",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "MI",
"license": "4704205361",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704205361",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.