Eric Shane Farris

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

567 Middle Fork Rd
Marion, VA 24354-6120

Phone

(276) 791-3356

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1962032565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MIDDLE FORK RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546120",
            "telephone_number": "276-791-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 MIDDLE FORK RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546120",
            "telephone_number": "276-791-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ERIC",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Ewald, MSN, CPNP
• Eye Physicians Optical Center
• Family Presevation Services, Inc.
• Justin Fantazier
• Debra S Farmer, LCSW
• Taylor Cheyanne Farris, BCABA
• Emily Nichole Fields, NP-C
• Lou Fincher
• Zachary Fink, NP
• Justine Finney, LPC

• Case Manager/Care Coordinator in Marion, VA
• Providers in Marion, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.