Individual provider Active NPI

Nicole Leann Farish, FNP-BC

  • Family Nurse Practitioner
  • Azle, TX
National Provider Identifier
1356813018
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139471 Issued in TX
Practice address
108 Denver TRL
Azle, TX 76020-3614
Phone
(817) 820-4906
Fax
(817) 820-4815
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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 AP139471 TX Primary

Addresses

Primary practice location

108 Denver TRL
Azle, TX 76020-3614

Mailing address

108 Denver TRL
Azle, TX 76020-3614
Phone (817) 820-4906

Other names 1

  • Nicole Leann Cone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190403001195 TX Practitioner - Nurse Practitioner 7517208465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

108 Denver TRL
Azle, TX 76020-3614
Phone (817) 820-4906

112 Denver Trail
Azle, TX 76020-3614
Phone (817) 270-3121

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 1, 2019 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2019 Accepting new patients
Haider Associates LLC CurrentSince Jun 1, 2022 Accepting new patients
Segue Health of Texas PLLC CurrentSince Sep 15, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

1999 Forest Ridge Dr
Bedford, TX 76021
Phone (682) 738-3158

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16562/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.farish.1@16562.direct.athenahealth.com
  • Direct secure messaging: nfarish70176@direct.texashealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1356813018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-820-4906",
            "fax_number": "817-820-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-820-4906",
            "fax_number": "817-820-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARISH",
        "first_name": "NICOLE",
        "middle_name": "LEANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CONE",
            "middle_name": "LEANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.