Keith Alan Farrell, MS MPH APRN

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

20020 Issued in SC

Practice address

555 E Cheves Street
McLeod Occupational Health
Florence, SC 29506

Phone

(843) 777-2550

Fax

(843) 777-5296

NPI assigned

Apr 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1639344179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N RAVENEL STREET",
            "address_2": "MCLEOD OCCUPATIONAL HEALTH",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2550",
            "fax_number": "843-777-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES STREET",
            "address_2": "MCLEOD OCCUPATIONAL HEALTH",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2550",
            "fax_number": "843-777-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MS MPH APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "SC",
            "license": "20020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346786",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014951",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Falk, MD
• Family Medicine and Mohr
• Familyties of SC, LLC
• William Victor Farnsworth, MD
• Howard A Farrell, MD
• Morgan Farrell
• Patricia Jordan Fast, D.M.D.
• Brittany Fatica
• Lily Knight Fatula, MD
• Carl Alvin Faulks, M.D.

• Occupational Health Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Occupational Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.

Verify at the official NPI Registry.