Amber Farris

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-108853 Issued in AL

Practice address

1728 11TH Ave
Haleyville, AL 35565-1506

Phone

(205) 485-7822

Fax

(833) 449-4072

NPI assigned

Nov 28, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Medical Center LLCGroup PAC ID 3678947793, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russellville Hospital Hospital, Russellville, AL, CCN 010158

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.farris.1@29882.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Medical Center LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1740996636
  Medicare reassignment Care Compare group NPD
• NWMC-Winfield Physician Practices, LLC

  • Family Medicine Physician
  • Guin, AL
  • NPI 1962584136
  NPD (past)

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

• Russellville Hospital Inc.

  dba Russellville Hospital

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1396561957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 11TH AVE",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651506",
            "telephone_number": "205-485-7822",
            "fax_number": "833-449-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 11TH AVE",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651506",
            "telephone_number": "205-485-7822",
            "fax_number": "833-449-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-108853",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-108853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carlos Elliott, MD
• Robert M Ellis, PHARM.D.
• Encore Rehabilitation, Inc. (Encore Rehab of Haleyville)
• Family Care First, Inc.
• Family Rehab Services, Inc
• Free State of Mind Psychiatry and Wellness
• Freedom Family Dental PLLC
• Jane Ann D Gilbert, LPC
• Global Medical Equipment and Supplies
• Goar Pediatrics, PC

• Family Nurse Practitioner in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.