Individual provider Active NPI

Lynn Ann Farrow, O.T.

  • Health Maintenance Organization
  • Milwaukee, WI
National Provider Identifier
1396085148
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1289-26 Issued in WI
Practice address
3073 S Chase Ave
Suite 240
Milwaukee, WI 53207-2638
Phone
(414) 231-4223
Fax
(414) 489-0540
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1289-26 WI Primary

Addresses

Primary practice location

3073 S Chase Ave
Suite 240
Milwaukee, WI 53207-2638

Mailing address

3535 Mountain Dr
Brookfield, WI 53045-1443
Phone (262) 783-9890

Other identifiers 1

IdentifierTypeStateIssuer
1289-26OtherWIWISCONSIN OT LICENSE

Other names 1

  • Lynn Ann Hocking Former name

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
1289-26WIMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1396085148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MOUNTAIN DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451443",
            "telephone_number": "262-783-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 S CHASE AVE",
            "address_2": "SUITE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072638",
            "telephone_number": "414-231-4223",
            "fax_number": "414-489-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "1289-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN OT LICENSE",
            "identifier": "1289-26",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "HOCKING",
            "middle_name": "ANN",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.