Sally J Farry, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Sandwich, MA
NPI 1245265602 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1245265602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 119415 (MA)
- Practice address
- 141 Route 6a
Sandwich, MA 02563-2051 - Phone
- (508) 888-9306
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119415 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Family Practice, Inc | Past | Accepting new patients | |
| Preventive Medicine Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 119415 | MA | Yes |
Addresses
Primary practice location
141 Route 6a
Sandwich, MA 02563-2051
Mailing address
141 Route 6a
Sandwich, MA 02563-2051
Phone (508) 888-9306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399175 | Medicaid | MA |
Other providers in Sandwich, MA
- Gabriela E Sousa
- Kimberli Edwards
- Ramon Espinosa
- Evans Speech and Language Therapy
- Jennifer R Everett
- Kyriaki Antonia Fitzgerald
- Kimberly S. Florence
- Kristina A Florio
- Foot Specialists of New England PLLC
- Barbara Forslund
All providers in Sandwich, MA · Primary Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.