Active NPI
Patricia Jane Barnes, MD
- Psychiatry Physician
- Renton, WA
National Provider Identifier
1154464527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00013645
- Practice address
- 600 Oakesdale Ave SW
#104
Renton, WA 98057-5226 - Phone
- (425) 228-5336
- Fax
- (425) 228-4540
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00013645 | WA | Primary |
Addresses
Primary practice location
600 Oakesdale Ave SW
#104
Renton, WA 98057-5226
Mailing address
600 Oakesdale Ave SW
#104
Renton, WA 98057-5226
Phone (425) 228-5336
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020601 | Medicaid | WA | |
| 0019088 | Other | WA | L AND I |
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 |
|---|---|---|---|
| MD00013645 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1154464527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "#104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-5336",
"fax_number": "425-228-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "#104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-5336",
"fax_number": "425-228-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "PATRICIA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00013645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020601",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "0019088",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.