Farley Primary Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FARLEY PRIMARY CARE

Doing business as

Farley Primary Care

Practice address

3557 Monterrey Dr
Baton Rouge, LA 70814-2918

Phone

(225) 218-4992

Fax

(225) 361-0862

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jacqueline Ross Farley, NPNPI 1285058305

Title

Owner

Phone

(225) 218-4992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farley Primary Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Ross Farley, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1285058305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1578285946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 MONTERREY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708142918",
            "telephone_number": "225-218-4992",
            "fax_number": "225-361-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 MONTERREY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708142918",
            "telephone_number": "225-218-4992",
            "fax_number": "225-361-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARLEY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-218-4992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2486543",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@farleyprimarycare.com",
            "affiliation": "N",
            "endpointDescription": "info@farleyprimarycare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3557 Monterrey Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708142918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Farley Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farley Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayodeji O Famuyide, M.ED, PT, FAAOMPT
• Crayton Fargason, M.D.
• David Fargason, MD
• Donna Brian Fargason, MD
• Shannon Leilani Farho, MA
• Jacqueline Ross Farley, FNP
• William John Farley, MD
• Christina Derbes Farlow, RDN
• Markeisha Farmer-Holliday
• Courtney Farmer, BSW

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.