Individual provider Active NPI

Wendy Barnett, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Canton, OH
National Provider Identifier
1083066203
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
024180 Issued in OH
Practice address
8722 Grimes Ave NW
North Canton, OH 44720
Phone
(330) 354-5829
NPI assigned
Jul 12, 2016
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 024180 OH Primary
Registered Nurse 163W00000X 290157 OH

Addresses

Primary practice location

8722 Grimes Ave NW
North Canton, OH 44720

Mailing address

8722 Grimes Ave NW
North Canton, OH 44720-4731
Phone (330) 354-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002671 OH Practitioner - Nurse Practitioner 1850630005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100

792 Graham Rd
Cuyahoga Falls, OH 44221-1000
Phone (330) 928-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
290157OHMDRegistered Nurse
024180OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Path Community Mental Health Center CurrentSince Jan 30, 2019 Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

105 5th St SE
Ste 6
Barberton, OH 44203
Phone (330) 745-0081

792 Graham Rd
Ste C
Cuyahoga Falls, OH 44221
Phone (330) 253-3100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1083066203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 GRIMES AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204731",
            "telephone_number": "330-354-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 GRIMES AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-354-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "WENDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "024180",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "290157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.