Active NPI
Gloria Jean Farris, CRNP
- Family Nurse Practitioner
- Jasper, AL
National Provider Identifier
1841568391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-077948
- Practice address
- 300 Cherokee Circle
Jasper, AL 35501 - Phone
- (205) 265-2140
- Fax
- (205) 265-2140
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-077948 | AL | Primary |
Addresses
Primary practice location
300 Cherokee Circle
Jasper, AL 35501
Mailing address
PO Box 497
Jasper, AL 35502-0497
Phone (205) 265-2140
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-077948 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1841568391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "JASPER",
"state": "AL",
"postal_code": "355020497",
"telephone_number": "205-265-2140",
"fax_number": "205-265-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CHEROKEE CIRCLE",
"city": "JASPER",
"state": "AL",
"postal_code": "35501",
"telephone_number": "205-265-2140",
"fax_number": "205-265-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-077948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.