Kerry Johanna Farmer, MS CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

30787 Issued in OR

Practice address

429 SE Marlin Ave
Unit a
Warrenton, OR 97146

Phone

(503) 861-3235

Fax

(503) 861-3436

NPI assigned

Sep 20, 2006

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayside Audiology LLC

  • Audiologist
  • Warrenton, OR
  • NPI 1639806003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1881792646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "address_2": "UNIT A",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-861-3235",
            "fax_number": "503-861-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "address_2": "UNIT A",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-861-3235",
            "fax_number": "503-861-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "KERRY",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2212",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60254321",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Thomas Demarest, IDHS
• Jennifer Michelle Donohue
• Stacy Lynne Doty, COTA/L
• Karissa Doughty
• Jennifer Enriquez
• Theresa Anne Fattori
• Brenda L Febus, HS2
• Jacob Michael Ferguison, MA
• Kelsey Eileen Filosi
• First Steps Center for Autism and Developmental Disabilities

• Audiologist in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.