Active NPI
Nikko Farmer, RN
- Registered Nurse
- Saint Peters, MO
National Provider Identifier
1720347289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2000149870
- Practice address
- 4 Auchly LN
Saint Peters, MO 63376-2036 - Phone
- (314) 435-8424
- Fax
- (866) 950-4040
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2000149870 | MO | Primary |
| Administrator Registered Nurse | 163WA2000X | 2000149870 | MO | |
| Case Management Registered Nurse | 163WC0400X | 2000149870 | MO | |
| Community Health Registered Nurse | 163WC1500X | 2000149870 | MO | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 2000149870 | MO | |
| General Practice Registered Nurse | 163WG0000X | 2000149870 | MO | |
| Hemodialysis Registered Nurse | 163WH0500X | 200149870 | MO | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 2000149870 | MO | |
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
4 Auchly LN
Saint Peters, MO 63376-2036
Mailing address
4 Auchly LN
Saint Peters, MO 63376-2036
Phone (314) 435-8424
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 |
|---|---|---|---|
| 200149870 | MO | MD | Hemodialysis Registered Nurse |
| 2000149870 | MO | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716681600000",
"number": "1720347289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AUCHLY LN",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762036",
"telephone_number": "314-435-8424",
"fax_number": "866-950-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 AUCHLY LN",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762036",
"telephone_number": "314-435-8424",
"fax_number": "866-950-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "NIKKO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2024-05-26",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2000149870",
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "MO",
"license": "200149870",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MO",
"license": "2000149870",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.