Active NPI
Kathleen Farris, RN
- School Registered Nurse
- Aiken, SC
National Provider Identifier
1699017483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 68765
- Practice address
- 2404 Columbia Hwy N
Aiken, SC 29805-9017 - Phone
- (803) 641-2677
- Fax
- (803) 641-2402
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 68765 | SC | |
| School Registered Nurse | 163WS0200X | 68765 | SC | Primary |
Addresses
Primary practice location
2404 Columbia Hwy N
Aiken, SC 29805-9017
Mailing address
2404 Columbia Hwy N
Aiken, SC 29805-9017
Phone (803) 641-2677
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68765 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1699017483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 COLUMBIA HWY N",
"city": "AIKEN",
"state": "SC",
"postal_code": "298059017",
"telephone_number": "803-641-2677",
"fax_number": "803-641-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 COLUMBIA HWY N",
"city": "AIKEN",
"state": "SC",
"postal_code": "298059017",
"telephone_number": "803-641-2677",
"fax_number": "803-641-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "KATHLEEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "68765",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "68765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.