MARY E FARAGHER (NPI# 1871525352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871525352 |
| Entity Type | Individual |
| Full Name | MARY E FARAGHER |
| Credential | ARNP |
| Practice Address |
612 N Andover Rd Andover KS 67002-9778 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3167336618 |
| Practice Fax Number | 3167335299 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899667 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 44911 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 003719243 | 01 |
| Street Address |
612 N ANDOVER RD |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053372037 | Jill L Johnson-smith | Physician Assistant | 612 N Andover Rd, Andover, KS 67002-9778 | 2006-03-30 |
| 1386962215 | Tara Katz | Family Medicine | 612 N Andover Rd, Andover, KS 67002-9778 | 2010-05-17 |
| 1255340337 | Michael Wilson | Family Medicine | 612 N Andover Rd, Andover, KS 67002-9778 | 2006-08-06 |
| 1568499267 | Charles R Green | Family Medicine | 612 N Andover Rd, Andover, KS 67002-9778 | 2006-06-27 |
| 1780611442 | Scott M Hane | Family Medicine | 612 N Andover Rd, Andover, KS 67002-9778 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in zip 67002 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710079033 | Barbara C Stubenhaus | Nurse Practitioner | 3 Dundee Park., Suite B05, Andover, MA 01810 | 2006-09-28 |
| 1982719985 | Daniel L Woolston | Nurse Practitioner | 20 Sout Main St, Andover, NY 14806 | 2006-08-20 |
| 1023001088 | Julie L Dalton | Nurse Practitioner | 16 Paulornette Cir, Andover, MA 01810-2838 | 2005-08-25 |
| 1164078838 | Laura Ann Mullen | Nurse Practitioner | 47 High St, Andover, MA 01810-3527 | 2019-08-17 |
| 1053975789 | Clelie St Vil | Nurse Practitioner | 180 Main St, Andover, MA 01810 | 2019-04-29 |
| 1114335122 | Laura Enos | Nurse Practitioner | 323 Lowell St, Andover Medical Center & Expresscare, Andover, MA 01810-4501 | 2014-07-23 |
| 1851669113 | Brenda Novacinski | Nurse Practitioner | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2011-12-01 |
| 1245403443 | Paula Sue Foster | Nurse Practitioner | 822 N Andover Rd, Andover, KS 67002-9527 | 2008-04-08 |
| 1396947636 | Constance K Breen | Nurse Practitioner | 323 Lowell St Ste 302, Andover, MA 01810-4501 | 2007-05-31 |
| 1104984251 | Kelly Czworka | Nurse Practitioner | 323 Lowell St, Andover, MA 01810-4501 | 2006-12-04 |
| Find all providers in ANDOVER | ||||
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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.