Tracey Linn Barnes, CASE MANAGER – Counselor

Key facts

NPI: 1013388396
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 22872 Canary LN
Washington, OK 73093-4449
Phone: (405) 317-3113
NPI assigned: Oct 13, 2015
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6975	OK	MD	Family Medicine Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X			Yes

Addresses

Primary practice location

22872 Canary LN
Washington, OK 73093-4449

Mailing address

22872 Canary LN
Washington, OK 73093-4449
Phone (405) 317-3113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2015.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1013388396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22872 CANARY LN",
            "city": "WASHINGTON",
            "state": "OK",
            "postal_code": "730934449",
            "telephone_number": "405-317-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22872 CANARY LN",
            "city": "WASHINGTON",
            "state": "OK",
            "postal_code": "730934449",
            "telephone_number": "405-317-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TRACEY",
        "middle_name": "LINN",
        "credential": "CASE  MANAGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, OK

All providers in Washington, OK · Counselor in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.