Individual provider Active NPI

Terreasa Lorraine Farmer, CRNA

  • Certified Registered Nurse Anesthetist
  • Hamlet, NC
National Provider Identifier
1407025703
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
133500 Issued in NC
Practice address
1000 W Hamlet Ave
Hamlet, NC 28345-4522
Phone
(910) 205-8245
Fax
(910) 205-8164
NPI assigned
Feb 21, 2008
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 133500 NC Primary

Addresses

Primary practice location

1000 W Hamlet Ave
Hamlet, NC 28345-4522

Mailing address

PO Box 402136
Atlanta, GA 30384-2136
Phone (910) 997-2463

Other identifiers 1

IdentifierTypeStateIssuer
NAN832MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211115000242 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123106069 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133500NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2021 Accepting new patients
Hamlet PPM LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Hamlet Hma PPM LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Hamlet Hma Physician Management, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12291/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1407025703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402136",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842136",
            "telephone_number": "910-997-2463",
            "fax_number": "910-997-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HAMLET AVE",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454522",
            "telephone_number": "910-205-8245",
            "fax_number": "910-205-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TERREASA",
        "middle_name": "LORRAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "133500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN832",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.