Active NPI
Lee I Barnes, M.D.
- Rehabilitation Practitioner
- Jasper, IN
National Provider Identifier
1114014602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 01054185A
- Practice address
- 800 W 9TH St
Jasper, IN 47546-2514 - Phone
- (812) 996-2345
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 01054185A | IN | Primary |
Addresses
Primary practice location
800 W 9TH St
Jasper, IN 47546-2514
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200341820 | Medicaid | IN | |
| P00412088 | Other | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054185A | IN | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377993600000",
"number": "1114014602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"city": "JASPER",
"state": "IN",
"postal_code": "475471028",
"telephone_number": "812-996-8493",
"fax_number": "812-996-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 9TH ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475462514",
"telephone_number": "812-996-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "LEE",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2013-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "IN",
"license": "01054185A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200341820",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00412088",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.