Mark Gordon Farrington, NP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

0015000702 Issued in VA

Practice address

730 Lyons Ave
Charlottesville, VA 22902-4310

Phone

(434) 760-3210

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1346577376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 LYONS AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024310",
            "telephone_number": "434-760-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 LYONS AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024310",
            "telephone_number": "434-760-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRINGTON",
        "first_name": "MARK",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001085702",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5511071",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behzad S. Farivar, MD
• Lindsay R Farley, MD
• Erin Tibbs Farmer, MSED,PES
• James R Farmer, DDS
• Amiko Farrar, SLP
• Dominic Michael Farronato, MD
• Katherine Elizabeth Fary, PHARMD.
• Faraz Farzad
• Anna Zimmerman Fashandi
• Manal Fasih

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.