Active NPI
Barbara J. Bannon
- Reflexologist
- New Holland, PA
National Provider Identifier
1184004608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- 173C00000X
- Practice address
- 5 Runway Ave
New Holland, PA 17557-9363 - Phone
- (717) 419-5557
- NPI assigned
- Jun 1, 2015
- Last updated
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 173C00000X | PA | Primary |
Addresses
Primary practice location
5 Runway Ave
New Holland, PA 17557-9363
Mailing address
5 Runway Ave
New Holland, PA 17557-9363
Phone (717) 419-5557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173C00000X | PA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1184004608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RUNWAY AVE",
"city": "NEW HOLLAND",
"state": "PA",
"postal_code": "175579363",
"telephone_number": "717-419-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RUNWAY AVE",
"city": "NEW HOLLAND",
"state": "PA",
"postal_code": "175579363",
"telephone_number": "717-419-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNON",
"first_name": "BARBARA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "PA",
"license": "173C00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Holland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.