Active NPI
Kimberly Anne Farhad, FNP
- Family Nurse Practitioner
- West Springfield, MA
National Provider Identifier
1255294302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2316743
- Practice address
- 928 Riverdale St
West Springfield, MA 01089-4620 - Phone
- (413) 733-6490
- NPI assigned
- Dec 5, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2316743 | MA | Primary |
Addresses
Primary practice location
928 Riverdale St
West Springfield, MA 01089-4620
Mailing address
175 N Maple St
Enfield, CT 06082-3104
Phone (860) 986-4436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311001781 | MA | Practitioner - Nurse Practitioner | 1951884659 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic of Massachusetts, LLC
Practice addresses (Care Compare)
928 Riverdale St
West Springfield, MA 01089-4620
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2316743 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current | Accepting new patients |
Locations
928 Riverdale St
West Springfield, MA 01089
Phone (413) 733-6430
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Medway, MA
- NPI 1457470858
Family, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1255294302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N MAPLE ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823104",
"telephone_number": "860-986-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 RIVERDALE ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894620",
"telephone_number": "413-733-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAD",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-05",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2316743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.