Individual provider Active NPI

Flannery Farrell, CNM

  • Advanced Practice Midwife
  • Voorhees, NJ
National Provider Identifier
1356949499
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00071800 Issued in NJ
Practice address
2301 E Evesham Rd
Voorhees, NJ 08043-4501
Phone
(856) 770-9300
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00071800 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd
Voorhees, NJ 08043-4501

Mailing address

2301 E Evesham Rd Ste 122
Building 800
Voorhees, NJ 08043-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106002593 PA Practitioner - Certified Nurse Midwife (CNM) 9739590266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Spruce St
Suite 200
Philadelphia, PA 19106-4023
Phone (215) 829-3525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 3, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Advanced Practice Midwife CurrentSince Jan 3, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients

Locations

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

1930 S Broad St
Unit 14
Philadelphia, PA 19145
Phone (215) 685-1803

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

700 Spruce St
Ste B03
Philadelphia, PA 19106
Phone (215) 829-5046

800 Walnut St
Fl 12
Philadelphia, PA 19107

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

800 Walnut St
Fl 15
Philadelphia, PA 19107

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1356949499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 122",
            "address_2": "BUILDING 800",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-770-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "FLANNERY",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00071800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.