Larry Lee Bardell, MN, PMHNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

077038453N6 PMHNP-PP Issued in OR

Practice address

1660 Oak St SE
Salem, OR 97301-6942

Phone

(503) 316-8817

Fax

(503) 316-9037

NPI assigned

Aug 7, 2006

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

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023027877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 NW SPRINGHILL DR",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211587",
            "telephone_number": "541-928-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OAK ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016942",
            "telephone_number": "503-316-8817",
            "fax_number": "503-316-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDELL",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "077038453N6 PMHNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "077038453N6 PMHNP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Monique Barawis, LPC
• Barbara M. Balowitz, LCSW
• Nicholas Barber, MD
• Lucrecia Barcenas Ramos
• Aliannah Barcinas
• Brittney R Bardin
• Judy Marie Barela, RN
• Lanae Beth Barfield
• James D Barger, M.S.N., A.N.P.
• Dannette Evans Barkell

• All providers in Salem, OR
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.