Organization Active NPI

Kathryn a Barrett MD PC

  • Family Medicine Physician
  • Rapid City, SD
National Provider Identifier
1124352018
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3638 Issued in SD
Legal business name
KATHRYN A BARRETT MD PC
Practice address
740 Sheridan Lake Rd
Suite B
Rapid City, SD 57702-0900
Phone
(605) 718-5566
Fax
(605) 718-5568
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Ann M Pryor
Title
Office Manager
Phone
(605) 718-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3638 SD Primary

Addresses

Primary practice location

740 Sheridan Lake Rd
Suite B
Rapid City, SD 57702-0900

Mailing address

740 Sheridan Lake Rd
Suite B
Rapid City, SD 57702-0900
Phone (605) 718-5566

National Provider Directory

National Provider Directory

Locations

740 Sheridan Lake Rd
Ste B
Rapid City, SD 57702
Phone (605) 718-5566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1124352018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SHERIDAN LAKE RD",
            "address_2": "SUITE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020900",
            "telephone_number": "605-718-5566",
            "fax_number": "605-718-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SHERIDAN LAKE RD",
            "address_2": "SUITE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020900",
            "telephone_number": "605-718-5566",
            "fax_number": "605-718-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN A BARRETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-718-5566"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.