Active NPI
Jennifer W Farrow, APRN, CPNP-PC
- Pediatric Nurse Practitioner
- Cary, NC
National Provider Identifier
1740743129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5011681
- Practice address
- 940 SE Cary Pkwy Ste 200
Cary, NC 27518-7417 - Phone
- (919) 859-9991
- NPI assigned
- Apr 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | FARR-CQ06KJ | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 5011681 | NC | Primary |
Addresses
Primary practice location
940 SE Cary Pkwy Ste 200
Cary, NC 27518-7417
Mailing address
201 Piperwood Dr
Cary, NC 27518-8928
Phone (571) 213-0803
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011681 | NC | MD | Pediatric Nurse Practitioner |
| FARR-CQ06KJ | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Wake Pediatrics, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cary, NC
- NPI 1942251251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1740743129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PIPERWOOD DR",
"city": "CARY",
"state": "NC",
"postal_code": "275188928",
"telephone_number": "571-213-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SE CARY PKWY STE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275187417",
"telephone_number": "919-859-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARROW",
"first_name": "JENNIFER",
"middle_name": "W",
"credential": "APRN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "FARR-CQ06KJ",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5011681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.