Individual provider Active NPI

Mina Farrar, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1275930380
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18682 Issued in TN
Practice address
139 Fox Rd Suite 201
Knoxville, TN 37924
Phone
(865) 769-9595
Fax
(865) 769-9510
NPI assigned
Dec 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18682 TN Primary

Addresses

Primary practice location

139 Fox Rd Suite 201
Knoxville, TN 37924

Mailing address

530 Old Tavern Cir
Farragut, TN 37934-2624
Phone (865) 441-6698

Other practice location 1

2021 N Broadway St
Knoxville, TN 37917-5808
Phone (865) 441-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002065 TN Practitioner - Nurse Practitioner 2769786284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 N Broadway St
Knoxville, TN 37917-5808
Phone (865) 299-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18682TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Care Clinic LLC Family CurrentSince Apr 2, 2025 Accepting new patients
East Tenn Neurology CL PC CurrentSince Jan 1, 2026 Accepting new patients
Jack Scariano Jr MD PLLC CurrentSince Jan 19, 2016 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

2021 N Broadway St
Knoxville, TN 37917
Phone (865) 299-1411

139 Fox Rd
Ste 201
Knoxville, TN 37922
Phone (865) 444-6161

140 Market Place Blvd
Bldg E
Knoxville, TN 37922
Phone (865) 212-2211

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mina.farrar@115443077021700.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1275930380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 OLD TAVERN CIR",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342624",
            "telephone_number": "865-441-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FOX RD SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37924",
            "telephone_number": "865-769-9595",
            "fax_number": "865-769-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175808",
            "country_code": "US",
            "telephone_number": "865-441-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "MINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.