Farrah Halvorson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2467533 Issued in MN

Practice address

807 Cloquet Ave Ste 200
Cloquet, MN 55720-1660

Phone

(218) 879-2035

Fax

(218) 879-3523

NPI assigned

May 21, 2024

Last updated

May 21, 2024By 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 1

Addresses

Other names 1

• Farrah Rowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1952140824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE STE 200",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201660",
            "telephone_number": "218-879-2035",
            "fax_number": "218-879-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE STE 200",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201660",
            "telephone_number": "218-879-2035",
            "fax_number": "218-879-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "FARRAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2467533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARRAH",
            "last_name": "ROWE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Graceful Strides Wellness Center LLC
• Dayna Marie Grimm, CHW
• John Anthony Gust, RPH
• Stacey Lynn Gutman, M.D.
• Jennifer Susan Hall, RD, LD
• Alan Daniel Haney, MSW, LICSW
• Bobbijo Ellen Hanson, RN
• Jessica Lynn Hanson
• Angela Mary Hartwig, LICSW
• William O Haug Jr., M.D.

• Home Health Registered Nurse in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.