Gwendolyn Michele Barber

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

NA Issued in MN

Practice address

501 Dale St N
Saint Paul, MN 55103-1914

Phone

(612) 407-0776

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1093549032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21011",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554210011",
            "telephone_number": "612-407-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031914",
            "telephone_number": "612-407-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "GWENDOLYN",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MN",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Shock LLC
• Ali Barbarawi
• Joel E Barbato, M.D.
• Barbee Counseling PLLC
• Emily Gwyneth Barbee
• Sarah Ann Barber, PHARMD,RPH
• Thomas R Barber, O.D.
• Kelly W Barbes, M.A., CCC
• Terry Randyl Barclay, PHD, LP
• Jaime Lynn Barfknecht

• Prevention Professional in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Prevention Professional in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.