Active NPI
Linda A Farrell, APRN
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1992783088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN1095
- Practice address
- 9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343 - Phone
- (843) 812-4725
- NPI assigned
- Jan 9, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN1095 | SC | Primary |
Addresses
Primary practice location
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Mailing address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN1095 | Other | SC | STATE LICENSE |
| NP2098 | Medicaid | SC |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095 | SC | MD | Clinical Social Worker |
| APN1095 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L Smoak | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| Robert L Smoak | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orangeburg, SC
- NPI 1669437430
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1720151483
-
- Pharmacy
- Lexington, SC
- NPI 1518060292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992783088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "843-812-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "LINDA",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2023-03-07",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN1095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APN1095",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2098",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.