Individual provider Active NPI

Kris Ann Barnekow, PHD,OTR/L,IMH-E

  • Pediatric Occupational Therapist
  • Eagle River, WI
National Provider Identifier
1023739190
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
435-26 Issued in WI
Practice address
201 Hospital Rd
Eagle River, WI 54521-8835
Phone
(715) 479-7411
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 435-26 WI Primary

Addresses

Primary practice location

201 Hospital Rd
Eagle River, WI 54521-8835

Mailing address

2491 Columbus Rd
Eagle River, WI 54521-8809
Phone (141) 478-8038

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
435-26WIMDPediatric Occupational Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15654/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1023739190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 COLUMBUS RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218809",
            "telephone_number": "141-478-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218835",
            "telephone_number": "715-479-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEKOW",
        "first_name": "KRIS",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "PHD,OTR/L,IMH-E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "435-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.