Raven Elise Barker

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

301 Andrews Ave
Fort Rucker, AL 46933

Phone

(334) 255-7000

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Raven Elise Gibson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1083290951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "46933",
            "telephone_number": "334-255-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "46933",
            "telephone_number": "334-255-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "RAVEN",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVEN",
            "last_name": "GIBSON",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Louise Bagley, DMD
• Laura Sueann Ball, DO
• Joseph William Baltz, EMT
• Tiger Barbee
• Lynnette B Bardolf, PH.D.
• Ashley Barnes, LPN
• Judith Annette Barnes, MEDICAL ASSISTANT
• John Louis Bates, NREMT
• Richard Bauer, EMT-I
• Lorita Baughman, CONTACT REPRESENTATI

• Military Health Care Provider in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Military Health Care Provider in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.