Individual provider Active NPI

Gaye Lynne Farmer, L.P.N.

  • Licensed Practical Nurse
  • Clarksville, AR
National Provider Identifier
1679050397
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L42926 Issued in AR
Practice address
1000 W Buchanan St
Clarksville, AR 72830-2252
Phone
(479) 754-6210
Fax
(800) 354-2182
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L42926 AR Primary

Addresses

Primary practice location

1000 W Buchanan St
Clarksville, AR 72830-2252

Mailing address

1000 W Buchanan St
Clarksville, AR 72830-2252
Phone (479) 754-6210

Other identifiers 1

IdentifierTypeStateIssuer
103106724MedicaidAR

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L42926ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Forrester-Davis Development Center, Inc. Past Accepting new patients
Therapy Made Fun Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1679050397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BUCHANAN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728302252",
            "telephone_number": "479-754-6210",
            "fax_number": "800-354-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BUCHANAN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728302252",
            "telephone_number": "479-754-6210",
            "fax_number": "800-354-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "GAYE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L42926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103106724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.