Individual provider Active NPI

Renea Lee Barrett, L.AC CH

  • Acupuncturist
  • Springfield, MO
National Provider Identifier
1104968924
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2006015036 Issued in MO
Practice address
1675 E Seminole St Ste O
Springfield, MO 65804-2454
Phone
(417) 569-7913
Fax
(417) 882-7447
NPI assigned
Feb 12, 2007
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2006015036 MO Primary

Addresses

Primary practice location

1675 E Seminole St Ste O
Springfield, MO 65804-2454

Mailing address

1675 E Seminole St Ste O
Springfield, MO 65804-2454
Phone (417) 569-7913

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

State licenses

LicenseStateTypeSpecialty
2006015036MOMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1104968924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E SEMINOLE ST STE O",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042454",
            "telephone_number": "417-569-7913",
            "fax_number": "417-882-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E SEMINOLE ST STE O",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042454",
            "telephone_number": "417-569-7913",
            "fax_number": "417-882-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "RENEA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.AC CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2006015036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.