Active NPI
John Joseph Barrett, RN
- Registered Nurse
- Camillus, NY
National Provider Identifier
1093045528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 453580-1
- Practice address
- 110 Kathleen Ter
Camillus, NY 13031-1252 - Phone
- (315) 383-5889
- NPI assigned
- Jan 6, 2010
- Last updated
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 453580-1 | NY | Primary |
Addresses
Primary practice location
110 Kathleen Ter
Camillus, NY 13031-1252
Mailing address
110 Kathleen Ter
Camillus, NY 13031-1252
Phone (315) 383-5889
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 453580-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1093045528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KATHLEEN TER",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311252",
"telephone_number": "315-383-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KATHLEEN TER",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311252",
"telephone_number": "315-383-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "453580-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.