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RICHARD WARREN FARNUM PA-C
NPI 1104899012
Physician Assistant - Medical in Clarksville, TN

Active since February 10, 2006
130 N SPRING ST, CLARKSVILLE, TN 37040(615) 346-9437 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Feb 20, 2019 (2 updates tracked since 2019).

About Richard Warren Farnum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD WARREN FARNUM PA-C (NPI 1104899012) is an individual medical provider in Clarksville, Tennessee, licensed in Maryland (0003438) and active in the NPI registry since February 2006. He maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1104899012
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD WARREN FARNUMCredential: PA-C
Location Address130 N SPRING STClarksville, TN 37040-3240
Mailing Address1028 Thrasher DrClarksville, TN 37040-1450 · (240) 291-5431
Phone(615) 346-9437
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1104899012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · 0003438
Also ListedFamily MedicineTaxonomy 207Q00000X · License C0003438 (MD)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3750 (TN)
130 N SPRING ST, Clarksville, TN 37040
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Secondary Practice Location 1

Location 1650 Joel DrFort Campbell, KY 42223-5318 · Phone (270) 798-4677 · Fax (270) 798-2929

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE TO ONE HEALTH PLLC
Clinic/Center (Primary Care)
130 N SPRING ST
CLARKSVILLE, TN 37040
Montgomery County (423) 602-9530
GRACE ANN KIRKLAND PA-C
Physician Assistant
130 N SPRING ST
CLARKSVILLE, TN 37040
Montgomery County (615) 346-9437
VANESSA RENEE HASLAG FNP-C
Nurse Practitioner (Family)
130 N SPRING ST
CLARKSVILLE, TN 37040
Montgomery County (615) 346-9437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Farnum's NPI number?

The NPI number for Richard Farnum is 1104899012. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Richard Farnum located?

Richard Farnum practices at 130 N Spring St, Clarksville, TN 37040. The listed phone number is (615) 346-9437.

What is Richard Farnum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Richard Farnum was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.