Jacqueline Ross Farley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

109316-7591 Issued in LA

Practice address

3557 Monterrey Dr
Baton Rouge, LA 70814-2918

Phone

(225) 218-4992

Fax

(225) 361-0862

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Farley Primary Care

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1578285946
  Medicare reassignment NPD Authorized official
• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1689722431
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295

  LA

  Medicare reassignment NPD
• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1255665832
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1285058305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 MONTERREY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708142918",
            "telephone_number": "225-218-4992",
            "fax_number": "225-361-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 MONTERREY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708142918",
            "telephone_number": "225-218-4992",
            "fax_number": "225-361-0862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8303 Fennel Dr",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775217521",
            "country_code": "US",
            "telephone_number": "225-570-8470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "JACQUELINE",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "API125571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "109316-7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crayton Fargason, M.D.
• David Fargason, MD
• Donna Brian Fargason, MD
• Shannon Leilani Farho, MA
• Farley Primary Care
• William John Farley, MD
• Christina Derbes Farlow, RDN
• Markeisha Farmer-Holliday
• Courtney Farmer, BSW
• Kayla M Farrar, FNP-C

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.