Individual provider Active NPI

Jasmine Farrish, RN

  • Advanced Practice Midwife
  • Tyler, TX
National Provider Identifier
1730761446
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1059087 Issued in TX
Practice address
504 S Bonner Ave
Tyler, TX 75702-8038
Phone
(972) 802-2253
NPI assigned
Apr 22, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1059087 TX Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 824300 TX

Addresses

Primary practice location

504 S Bonner Ave
Tyler, TX 75702-8038

Mailing address

504 S Bonner Ave
Tyler, TX 75702-8038
Phone (972) 802-2253

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002139 TX Order and Referring Only - Certified Nurse Midwife (CNM) 2769916626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824300TXMDAmbulatory Women's Health Care Registered Nurse

Interoperability endpoints

  • Direct secure messaging: jasmine.farrish.p1@direct.lbucc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1730761446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S BONNER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028038",
            "telephone_number": "972-802-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S BONNER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028038",
            "telephone_number": "972-802-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRISH",
        "first_name": "JASMINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1059087",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "824300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.