Susan B Farrow, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

090163 Issued in MO

Practice address

408 S Broadview St
Cape Girardeau, MO 63703-5725

Phone

(573) 339-1196

Fax

(573) 339-7945

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  MO

  Medicare reassignment NPD
• Mercy Clinic East Communities

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1720635329
  NPD
• Cross Trails Medical Center

  • Dental Clinic/Center
  • Marble Hill, MO
  • NPI 1821151622
  NPD (past)
• Cross Trails Medical Center

  • Federally Qualified Health Center (FQHC)
  • Marble Hill, MO
  • NPI 1962565499
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1316948730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HWY 51 NORTH",
            "address_2": "PO BOX 349",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "63764",
            "telephone_number": "573-238-2725",
            "fax_number": "573-238-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-339-1196",
            "fax_number": "573-339-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "090163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00016805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Farnham, CF-SLP
• Ali Farooq, M.D.,
• Muhammad Farooq
• Mark Farrenburg, M.D.
• Jennifer Nicole Farrow
• Kathryn Ellen Farwell, PHD
• Andrea Faulkner, NP
• Samantha Faulkner
• Charly Renae Fausett, M.A., SLP-CF
• Amy Lee Featherston, FNP-C

• All providers in Cape Girardeau, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.