Active NPI
Linda Marie Farley, FNP-C
- Family Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1467930768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11598
- Practice address
- 3645 S Rome St Ste 216
Gilbert, AZ 85297-7338 - Phone
- (623) 516-8252
- Fax
- (623) 516-8253
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP11598 | AZ | Primary |
Addresses
Primary practice location
3645 S Rome St Ste 216
Gilbert, AZ 85297-7338
Mailing address
5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418496 | Medicaid | AZ |
Other names 1
- Linda Marie Farley
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11598 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain and Spine Institute PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJJDAA
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- Mesa, AZ
- NPI 1316147242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1467930768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5281 N 99TH AVE STE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052209",
"telephone_number": "623-516-8252",
"fax_number": "623-516-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 S ROME ST STE 216",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977338",
"telephone_number": "623-516-8252",
"fax_number": "623-516-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "418496",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "FARLEY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.