Individual provider Active NPI

Deborah Barycz I, RN

  • Home Health Registered Nurse
  • Berkley, MI
National Provider Identifier
1174990832
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
47041448629 Issued in MI
Practice address
2766 W 11 Mile Rd
Berkley, MI 48072-3033
Phone
(248) 542-2424
Fax
(228) 542-5621
NPI assigned
Aug 28, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 47041448629 MI Primary

Addresses

Primary practice location

2766 W 11 Mile Rd
Berkley, MI 48072-3033

Mailing address

14003 Adams Ave
Warren, MI 48088-5705
Phone (586) 296-6069

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
47041448629MIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1174990832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14003 ADAMS AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480885705",
            "telephone_number": "586-296-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 W 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723033",
            "telephone_number": "248-542-2424",
            "fax_number": "228-542-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARYCZ",
        "first_name": "DEBORAH",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "47041448629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.