Individual provider Active NPI

Tiara Shanay Farmer, FNP

  • Nurse Practitioner
  • Clementon, NJ
National Provider Identifier
1942188602
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15385400 Issued in NJ
Practice address
140 Pawnee Ave
Clementon, NJ 08021-4627
Phone
(856) 383-1494
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15385400 NJ Primary

Addresses

Primary practice location

140 Pawnee Ave
Clementon, NJ 08021-4627

Mailing address

140 Pawnee Ave
Clementon, NJ 08021-4627
Phone (856) 383-1494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251106000949 NJ Practitioner - Nurse Practitioner 7911497185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Pawnee Ave
Clementon, NJ 08021-4627

909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474

PO Box
Suite 4160
Cherry Hill, NJ 08034-0630

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15385400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates of NJ LLC Nurse Practitioner CurrentSince Oct 27, 2025 Accepting new patients
Comprehensive Pain Solutions of New Jersey, P.C. CurrentSince Dec 1, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2250 Chapel Ave W
Ste 230
Cherry Hill, NJ 08002

76 W Jimmie Leeds Rd
Ste 302
Galloway, NJ 08205
Phone (609) 652-3379

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

1014 High St N
Millville, NJ 08332
Phone (856) 327-0320

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1942188602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PAWNEE AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214627",
            "telephone_number": "856-383-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PAWNEE AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214627",
            "telephone_number": "856-383-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TIARA",
        "middle_name": "SHANAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15385400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clementon, NJ

Sources for this page

Verify at the official NPI Registry.