Active NPI
Cristina Ann Farrar, NNP
- Neonatal Nurse Practitioner
- Ft Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP140895
- Practice address
- 1301 Pennsylvania Ave
Ft Worth, TX 76104-2122 - Phone
- (817) 250-2000
- NPI assigned
- Dec 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 787527 | TX | |
| Neonatal Nurse Practitioner | 363LN0000X | AP140895 | TX | Primary |
Addresses
Primary practice location
1301 Pennsylvania Ave
Ft Worth, TX 76104-2122
Mailing address
923 Denton St
Denton, TX 76201-2888
Phone (940) 435-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787527 | TX | MD | Neonatal Intensive Care Registered Nurse |
| 29519 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Current | Accepting new patients |
Locations
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
3500 Gaston Ave
Dallas, TX 75246
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
Interoperability endpoints
- cfarrar1257652@ahs.direct-ci.com
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.
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1548730336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 DENTON ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012888",
"telephone_number": "940-435-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-250-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "CRISTINA",
"middle_name": "ANN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TX",
"license": "787527",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "AP140895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.