Active NPI
William Andrew Farnham, M.S., CCC-SLP
- Speech-Language Pathologist
- Santa Rosa Beach, FL
National Provider Identifier
1669879052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12551
- Practice address
- 318 Beacon Way
Santa Rosa Beach, FL 32459-3099 - Phone
- (216) 406-7347
- NPI assigned
- Dec 1, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12551 | FL | Primary |
Addresses
Primary practice location
318 Beacon Way
Santa Rosa Beach, FL 32459-3099
Mailing address
785 S 2ND St
Defuniak Springs, FL 32435-4903
Phone (850) 892-2176
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12551 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1669879052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 S 2ND ST",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324354903",
"telephone_number": "850-892-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 BEACON WAY",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593099",
"telephone_number": "216-406-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNHAM",
"first_name": "WILLIAM",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.