Anthony Shane Barker, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

041393474 Issued in IL

Practice address

315 Brady Mill Rd
Anna, IL 62906-2306

Phone

(618) 833-6343

Fax

(618) 833-3345

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: don@annarnc.com

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1154084986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BRADY MILL RD",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062306",
            "telephone_number": "618-833-6343",
            "fax_number": "618-833-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BRADY MILL RD",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062306",
            "telephone_number": "618-833-6343",
            "fax_number": "618-833-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ANTHONY",
        "middle_name": "SHANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041393474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "don@annarnc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "315 Brady Mill Rd",
            "city": "Anna",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629062306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arrowleaf
• Arrowleaf
• Arrowleaf
• Morgan Atherton
• Halley M Barke, PAC
• Olivia Leann Barker, REGISTERED NURSE
• Keith Samuel Bass, NP-C
• Nancy L Bass
• Steven M Beatty, M.D.
• Danece Lynn Bennett, APRN

• Administrator Registered Nurse in Anna, IL
• Providers in Anna, IL by specialty
• Administrator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.