Individual provider Active NPI

Justin Wade Farrar, FNP-C

  • Family Nurse Practitioner
  • Alvord, TX
National Provider Identifier
1689214637
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144494 Issued in TX
Practice address
115 E Bypass 287
Alvord, TX 76225-7778
Phone
(940) 427-2858
NPI assigned
Jan 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144494 TX Primary

Addresses

Primary practice location

115 E Bypass 287
Alvord, TX 76225-7778

Mailing address

139 Creekwood Ranch Rd
Azle, TX 76020-8045
Phone (817) 239-4104

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jfarrar2415082@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address jfarrar2415082@Direct.TexasHealth.org Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220205000167 TX Practitioner - Nurse Practitioner 4789077207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent Care 128 clinicians

Practice addresses (Care Compare)

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102

612 E Lamar Blvd
Arlington, TX 76011-4121
Phone (866) 416-6687

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144494TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Oct 1, 2023 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family CurrentSince Oct 1, 2023 Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

5252 Golden Triangle Blvd
Ste 500
Fort Worth, TX 76244
Phone (682) 212-9134

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: jfarrar2415082@direct.texashealth.org

Organizations & group practices 4

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1689214637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CREEKWOOD RANCH RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760208045",
            "telephone_number": "817-239-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BYPASS 287",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762257778",
            "telephone_number": "940-427-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "JUSTIN",
        "middle_name": "WADE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfarrar2415082@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5252 Golden Triangle Blvd Ste 500",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762443202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfarrar2415082@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5252 Golden Triangle Blvd Ste 500",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762443202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alvord, TX

Sources for this page

Verify at the official NPI Registry.