NPIMap

Individual provider Active NPI

Judy L Farness, NP

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1255431649
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
428622 Issued in TX
Practice address
1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000
Phone
(915) 546-9200
Fax
(915) 546-9800
NPI assigned
Sep 25, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 428622 TX Primary

Addresses

Primary practice location

1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000

Mailing address

1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000
Phone (915) 546-9200

Other identifiers 5

IdentifierTypeStateIssuer
188955202MedicaidTX
188955203MedicaidTX
116201807MedicaidTX
188955201MedicaidTX
45370745MedicaidNM

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Group of El Paso PA Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
El Paso Hospitalist Services, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1255431649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR STE 400",
            "address_2": "4TH FLOOR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025000",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR STE 400",
            "address_2": "4TH FLOOR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025000",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNESS",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "428622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188955202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188955203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116201807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188955201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45370745",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.