KATHRYN FARRELL (NPI# 1356752778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356752778 |
| Entity Type | Individual |
| Full Name | KATHRYN FARRELL |
| Credential | APN |
| Practice Address |
128 Route 70 Medford NJ 08055-2371 |
| Practice Telephone | 6093670900 |
| Mailing Telephone | 6093670900 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00493400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083961783 | Kathryn Farrell | Case Manager/Care Coordinator | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-13 |
| 1457634222 | Kathryn Kramer Farrell | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2011-09-27 |
| 1033319389 | Kathryn R Farrell | Pediatrics | 5 River Bend Pl, Suite C, Jackson, MS 39232-7618 | 2007-07-24 |
| Street Address |
128 ROUTE 70 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
| 1922648401 | Caitlin Martin | Occupational Therapist | 128 Route 70, Medford, NJ 08055-2371 | 2020-01-13 |
| 1144770975 | Virtua Medical Group, Pa | Clinic/Center | 128 Route 70, Suite 1, Medford, NJ 08055 | 2016-10-05 |
| 1922555457 | Scott Middleton | Physical Therapist | 128 Route 70, #2c, Medford, NJ 08055-2371 | 2016-09-01 |
| 1750743084 | Kadin Foot & Ankle Center PC | Podiatrist | 128 Route 70, Suite 14, Medford, NJ 08055-2371 | 2016-03-25 |
| 1427423920 | Paula Preston-dougherty | Registered Nurse | 128 Route 70, Medford, NJ 08055-2371 | 2015-12-09 |
| 1699192005 | Danielle Murphy Cooney | Occupational Therapist | 128 Route 70, Suite 2 C, Medford, NJ 08055-2371 | 2014-03-24 |
| 1578906343 | Thomas Marzili Md LLC | Non-Pharmacy Dispensing Site | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2013-04-11 |
| 1801131412 | Thomas J Marzili Md LLC | Clinic/Center | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2012-12-07 |
| 1972770402 | Mary Schubert Gang | Veterinarian | 128 Route 70, Unit 10, Medford, NJ 08055-2371 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.