Individual provider Active NPI

Michelle Elizabeth Farrey, NP

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1861053472
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26085 Issued in TN
Practice address
210 Westwood PL Ste 110
Brentwood, TN 37027-7554
Phone
(615) 206-2462
Fax
(833) 983-2043
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26085 TN Primary

Addresses

Primary practice location

210 Westwood PL Ste 110
Brentwood, TN 37027-7554

Mailing address

110 E Mountcastle Dr
Johnson City, TN 37601-2539
Phone (423) 430-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813003812 TN Practitioner - Nurse Practitioner 0840527800 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26085TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Aug 8, 2022 Accepting new patients
Longevity Clinical LTC Associates of Tennessee, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Aug 8, 2022 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

309 Main St
Red Boiling Springs, TN 37150
Phone (270) 487-9272

Interoperability endpoints

  • Direct secure messaging: mfarrey@landmarkhealth-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1861053472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MOUNTCASTLE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012539",
            "telephone_number": "423-430-5492",
            "fax_number": "833-921-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-206-2462",
            "fax_number": "833-983-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARREY",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.