Active NPI
Jesse Barrett
- Social Worker
- Fairbanks, AK
National Provider Identifier
1053898791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 162673
- Practice address
- 926 Aspen St
Fairbanks, AK 99709-5501 - Phone
- (907) 371-1300
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 162673 | AK | |
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | 162673 | AK | Primary |
Addresses
Primary practice location
926 Aspen St
Fairbanks, AK 99709-5501
Mailing address
926 Aspen St
Fairbanks, AK 99709-5501
Phone (907) 371-1300
Other practice location 1
3100 S Cushman St
Fairbanks, AK 99701-7516
Phone (907) 452-6291 ext. 6614
Other practice location 2
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone (907) 374-7001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162673 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1053898791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 ASPEN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095501",
"telephone_number": "907-371-1300",
"fax_number": "907-374-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 ASPEN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095501",
"telephone_number": "907-371-1300"
}
],
"practiceLocations": [
{
"address_1": "3100 S Cushman St",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997017516",
"country_code": "US",
"telephone_number": "907-452-6291 x6614",
"fax_number": "907-456-4849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3568 Geraghty Ave",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997094701",
"country_code": "US",
"telephone_number": "907-374-7001",
"fax_number": "907-374-7008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AK",
"license": "162673",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "162673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.