Jerrold Anthony Barnes

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

136760 Issued in NY

Practice address

66 Quinby Ave
White Plains, NY 10606-3112

Phone

(914) 629-4554

NPI assigned

Nov 14, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jerrold Anthony Barnes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1013552926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 QUINBY AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063112",
            "telephone_number": "914-629-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 QUINBY AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063112",
            "telephone_number": "914-629-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JERROLD",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "136760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERROLD",
            "last_name": "BARNES",
            "middle_name": "ANTHONY",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Frank Andrew Barile, PH D
• Kevin Barile, LPN
• Elliott Michael Barish, D.D.S.
• James Thomas Barker Jr., RN
• Selena Janice Barksdale, O.D.
• Ronald Keith Barnett, PHD
• Tracy Ann Barnett, FNP
• Lenore Barone
• Sandra Barreda
• Giovanna Taliza Barreiro

• Licensed Practical Nurse in White Plains, NY
• Providers in White Plains, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.