Individual provider Active NPI

Ley Imboden Barnett, M.D.

  • Family Medicine Physician
  • Fuquay Varina, NC
National Provider Identifier
1174504427
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-00621 Issued in NC
Practice address
1006 Procure St
Suite 100
Fuquay-Varina, NC 27526
Phone
(919) 577-9952
Fax
(919) 577-9946
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95-00621 NC Primary

Addresses

Primary practice location

1006 Procure St
Suite 100
Fuquay-Varina, NC 27526

Mailing address

1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421

Other identifiers 1

IdentifierTypeStateIssuer
8945231MedicaidNC

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

LicenseStateTypeSpecialty
95-00621NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Family Medicine, PA Family Medicine PastSince Nov 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lbarnett434928@direct.medicine.duke.edu

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1174504427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERIMETER PARK DR",
            "address_2": "SUITE 225",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 PROCURE ST",
            "address_2": "SUITE 100",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-577-9952",
            "fax_number": "919-577-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "LEY",
        "middle_name": "IMBODEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "95-00621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.