Active NPI
Blaire Farrior Harrold, NP
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1760085062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11009624
- Practice address
- 2908 W Azeele St
Tampa, FL 33609-3110 - Phone
- (813) 278-1012
- NPI assigned
- Nov 18, 2020
- 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 |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 11009624 | FL | |
| Family Medicine Physician | 207Q00000X | 11009624 | FL | Primary |
Addresses
Primary practice location
2908 W Azeele St
Tampa, FL 33609-3110
Mailing address
4616 W Ingraham St
Tampa, FL 33616-2120
Phone (813) 470-9715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.drfarrior.com/ | Health Information Exchange (HIE) |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009624 | FL | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1760085062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W INGRAHAM ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336162120",
"telephone_number": "813-470-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093110",
"telephone_number": "813-278-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARROLD",
"first_name": "BLAIRE",
"middle_name": "FARRIOR",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "FL",
"license": "11009624",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "11009624",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.drfarrior.com/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2908 W Azeele St",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336093110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.