Individual provider Active NPI

Jackie Lynn Barrows, CNA

  • Home Modifications Contractor
  • Oxford, NY
National Provider Identifier
1184275083
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
79882576 Issued in NY
Practice address
4161 State Highway 220
Oxford, NY 13830-4306
Phone
(607) 316-8195
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 79882576 NY Primary

Addresses

Primary practice location

4161 State Highway 220
Oxford, NY 13830-4306

Mailing address

4161 State Highway 220
Oxford, NY 13830-4306
Phone (607) 316-8195

Other identifiers 1

IdentifierTypeStateIssuer
811842857OtherNYNY STATE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jackie.barrows@hotmail.com Direct
Other URL Jackie.barrows@hotmail.com Direct

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

LicenseStateTypeSpecialty
79882576NYMDHome Modifications Contractor

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1184275083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 STATE HIGHWAY 220",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138304306",
            "telephone_number": "607-316-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 STATE HIGHWAY 220",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138304306",
            "telephone_number": "607-316-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROWS",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NY",
            "license": "79882576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE",
            "identifier": "811842857",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jackie.barrows@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "4161 state hwy 220",
            "city": "Oxford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jackie.barrows@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "4161 state hwy 220",
            "city": "Oxford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.