Active NPI
Jessica Jo Farnsworth, MD
- Family Medicine Physician
- Holdrege, NE
National Provider Identifier
1487750360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23342
- Practice address
- 516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216 - Phone
- (308) 995-4431
- Fax
- (308) 995-3247
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 23342 | NE | Primary |
Addresses
Primary practice location
516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216
Mailing address
516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216
Phone (308) 995-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00063 | Other | NE | BCBS |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1487750360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W 14TH AVE",
"address_2": "STE 100",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689491216",
"telephone_number": "308-995-4431",
"fax_number": "308-995-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W 14TH AVE",
"address_2": "STE 100",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689491216",
"telephone_number": "308-995-4431",
"fax_number": "308-995-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "JESSICA",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "23342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00063",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.