Anthony Shane Barker, RN
Individual provider Active NPI Administrator Registered Nurse · Anna, IL
NPI 1154084986 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1154084986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- 041393474 (IL)
- Practice address
- 315 Brady Mill Rd
Anna, IL 62906-2306 - Phone
- (618) 833-6343
- Fax
- (618) 833-3345
- NPI assigned
- Oct 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041393474 | IL | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 041393474 | IL | Yes |
Addresses
Primary practice location
315 Brady Mill Rd
Anna, IL 62906-2306
Mailing address
315 Brady Mill Rd
Anna, IL 62906-2306
Phone (618) 833-6343
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | don@annarnc.com | Health Information Exchange (HIE) |
Other providers in Anna, IL
- Arrowleaf
- Arrowleaf
- Arrowleaf
- Morgan Atherton
- Halley M Barke
- Olivia Leann Barker
- Keith Samuel Bass
- Nancy L Bass
- Steven M Beatty
- Danece Lynn Bennett
All providers in Anna, IL · Administrator Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.