Individual provider Active NPI

Cristina Marie Barrett, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1164145991
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022799 Issued in CA
Practice address
21001 Sherman Way Ste 15
Canoga Park, CA 91303-3678
Phone
(818) 716-0048
NPI assigned
Sep 26, 2022
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022799 CA Primary

Addresses

Primary practice location

21001 Sherman Way Ste 15
Canoga Park, CA 91303-3678

Mailing address

21001 Sherman Way Ste 15
Canoga Park, CA 91303-3678
Phone (818) 716-0048

Other practice location 1

1543 E Palmdale Blvd Ste C
Palmdale, CA 93550-2000
Phone (661) 274-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL address Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624001965 CA Practitioner - Nurse Practitioner 2769925304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022799CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roy Medical Group, Inc. PastSince Jun 2, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1164145991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 SHERMAN WAY STE 15",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033678",
            "telephone_number": "818-716-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SHERMAN WAY STE 15",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033678",
            "telephone_number": "818-716-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 E Palmdale Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935502000",
            "country_code": "US",
            "telephone_number": "661-274-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "address",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17001 Diver St",
            "city": "Canyon Country",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913873967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.