Individual provider Active NPI

Kelsey Zdeba Barnes

  • Women's Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1164166732
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95020745 Issued in CA
Practice address
3700 Reservoir Rd NW
Washington, DC 20007-2111
Phone
(202) 687-0100
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95020745 CA Primary

Addresses

Primary practice location

3700 Reservoir Rd NW
Washington, DC 20007-2111

Mailing address

3700 Reservoir Rd NW
Washington, DC 20007-2111
Phone (202) 687-0100

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
I20230922002997 CA Practitioner - Nurse Practitioner 7618321720 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Pasadena and San Gabriel Valley Inc CurrentSince Jul 25, 2023 Accepting new patients
Planned Parenthood Pasadena and San Gabriel Valley Inc Past Accepting new patients

Locations

330 S Garfield Ave
Ste 300
Alhambra, CA 91801
Phone (626) 417-6193

2333 Lake Ave
Fl 2
Altadena, CA 91001
Phone (626) 794-5737

4070 Sterling Way
Baldwin Park, CA 91706
Phone (626) 337-1360

130 W Route 66
Ste 100
Glendora, CA 91740
Phone (626) 644-7926

5903 N Figueroa St
Los Angeles, CA 90042
Phone (626) 798-0706

620 N Lake Ave
Pasadena, CA 91101
Phone (626) 793-7350

1045 N Lake Ave
Pasadena, CA 91104
Phone (626) 794-5737

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1164166732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072111",
            "telephone_number": "202-687-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072111",
            "telephone_number": "202-687-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KELSEY",
        "middle_name": "ZDEBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95020745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.