Active NPI
Michelle Barry
- Community Health Worker
- Omaha, NE
National Provider Identifier
1174335673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 12422 N 40TH St
Omaha, NE 68112-1046 - Phone
- (402) 206-6011
- NPI assigned
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
12422 N 40TH St
Omaha, NE 68112-1046
Mailing address
12422 N 40TH St
Omaha, NE 68112-1046
Phone (402) 206-6011
Other practice location 1
8611 Blondo St Ste 1
Omaha, NE 68134-6159
Phone (402) 830-9090
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eco Supportive Living | Past | 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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Omaha, NE
- NPI 1740030188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1174335673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12422 N 40TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681121046",
"telephone_number": "402-206-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12422 N 40TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681121046",
"telephone_number": "402-206-6011"
}
],
"practiceLocations": [
{
"address_1": "8611 Blondo St Ste 1",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681346159",
"country_code": "US",
"telephone_number": "402-830-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.