Gwendolyn Faith Farrar

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61384347 Issued in WA

Practice address

640 Jadwin Ave Ste C
Richland, WA 99352-4244

Phone

(509) 947-1751

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1699549881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 BOISE ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523922",
            "telephone_number": "971-320-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JADWIN AVE STE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524244",
            "telephone_number": "509-947-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "GWENDOLYN",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61384347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alma Farias, BSW
• Rachel Farline, MA, CCC-SLP
• J Randall Farrar, MD
• Malerie Rebecca Jeannae Fateley, L.M.P.
• Ana Elizabeth Faustino
• Isis Arlet Faustino
• Damian Jamie Favila

• Massage Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.