Active NPI
Samuel Harrison Barker, D.C., NP-C
- Family Nurse Practitioner
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-1452A
- Practice address
- 844 Washington St N Ste 400
Twin Falls, ID 83301-3874 - Phone
- (208) 734-0000
- Fax
- (208) 735-5053
- NPI assigned
- Sep 27, 2006
- Last updated
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1210 | ID | |
| Family Nurse Practitioner | 363LF0000X | 822860 | NV | |
| Family Nurse Practitioner | 363LF0000X | NP-1452A | ID | Primary |
Addresses
Primary practice location
844 Washington St N Ste 400
Twin Falls, ID 83301-3874
Mailing address
844 Washington St N Ste 400
Twin Falls, ID 83301-3874
Phone (208) 734-0000
Other practice location 1
976 Mountain City Hwy
Elko, NV 89801-2728
Phone (775) 777-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
844 Washington St N
Suite 200
Twin Falls, ID 83301-3874
Phone (208) 734-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210 | ID | MD | Clinical Social Worker |
| CHIA-1210 | ID | MD | Chiropractor |
| NP-1452A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magic Valley Medicine PLLC | Family | Current | Accepting new patients |
| Quicker Care PLLC | Current | Accepting new patients | |
| Magic Valley Medicine PLLC | Current | Accepting new patients |
Locations
844 Washington St N
Ste 200
Twin Falls, ID 83301
Phone (208) 734-0000
844 Washington St N
Ste 400
Twin Falls, ID 83301
Phone (208) 734-0000
Interoperability endpoints
- backtalkdoc@mvm-id.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Twin Falls, ID
- NPI 1821603382
-
- Family Nurse Practitioner
- Twin Falls, ID
- NPI 1174939383
-
- Durable Medical Equipment & Medical Supplies
- Twin Falls, ID
- NPI 1831644608
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1043301682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 WASHINGTON ST N STE 400",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013874",
"telephone_number": "208-734-0000",
"fax_number": "208-735-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 WASHINGTON ST N STE 400",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013874",
"telephone_number": "208-734-0000",
"fax_number": "208-735-5053"
}
],
"practiceLocations": [
{
"address_1": "976 Mountain City Hwy",
"address_purpose": "LOCATION",
"city": "Elko",
"state": "NV",
"postal_code": "898012728",
"country_code": "US",
"telephone_number": "775-777-7587",
"fax_number": "775-738-9584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKER",
"first_name": "SAMUEL",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "D.C., NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1210",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "822860",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1452A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.