Active NPI
Kathleen Bonnie Barrett, APRN BC
- Registered Nurse
- Plymouth, MA
National Provider Identifier
1073673893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 93966
- Practice address
- 50 Aldrin Rd
South Bay Mental Health
Plymouth, MA 02360 - Phone
- (508) 830-0004
- Fax
- (508) 830-0295
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 93966 | MA | Primary |
Addresses
Primary practice location
50 Aldrin Rd
South Bay Mental Health
Plymouth, MA 02360
Mailing address
30 Windsor Point
Mashpee, MA 02649
Phone (508) 539-9178
Other names 1
- K Bonnie Barrett
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
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Ground Counseling & Personal Growth Center, LLC | Past | Accepting new patients | |
| Gosnold, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Mashpee, MA
- NPI 1821262189
-
- Children's Substance Abuse Rehabilitation Facility
- Falmouth, MA
- NPI 1639219314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073673893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WINDSOR POINT",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-539-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALDRIN RD",
"address_2": "SOUTH BAY MENTAL HEALTH",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-830-0004",
"fax_number": "508-830-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KATHLEEN",
"middle_name": "BONNIE",
"name_prefix": "Ms.",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "93966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "K",
"last_name": "BARRETT",
"middle_name": "BONNIE",
"credential": "APRN BC RN MS CA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.