Active NPI
L Ann Farrar, CRNA
- Certified Registered Nurse Anesthetist
- Woodward, OK
National Provider Identifier
1871520098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 25761
- Practice address
- 900 17TH Street
Woodward, OK 73801 - Phone
- (580) 254-8694
- NPI assigned
- Jun 26, 2006
- Last updated
- Nov 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 25761 | OK | Primary |
Addresses
Primary practice location
900 17TH Street
Woodward, OK 73801
Mailing address
2818 Blue Sage
Woodward, OK 73801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100784440A | Medicaid | OK | |
| P01047448 | Other | OK | RR MEDICARE |
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
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1871520098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 BLUE SAGE",
"city": "WOODWARD",
"state": "OK",
"postal_code": "73801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 17TH STREET",
"city": "WOODWARD",
"state": "OK",
"postal_code": "73801",
"telephone_number": "580-254-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "L",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "25761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100784440A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01047448",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.