Individual provider Active NPI

Nicole Jeanette Farwell

  • Speech-Language Pathologist
  • Murrieta, CA
National Provider Identifier
1306039995
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15496 Issued in CA
Practice address
25102 Jefferson Ave
Suite D
Murrieta, CA 92562-1707
Phone
(951) 461-1190
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15496 CA Primary

Addresses

Primary practice location

25102 Jefferson Ave
Suite D
Murrieta, CA 92562-1707

Mailing address

25102 Jefferson Ave
Suite D
Murrieta, CA 92562-1707
Phone (951) 461-1190

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15496CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Speech & Language Speech-Language Pathologist Past Accepting new patients
Lucid Speech and Language Clinic, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1306039995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-461-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-461-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARWELL",
        "first_name": "NICOLE",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.