John Jerome Barrett, MS, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2017031789 Issued in MO

Practice address

633 Emerson Rd Ste 20
Creve Coeur, MO 63141-6739

Phone

(314) 325-3068

Fax

(314) 325-3069

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JB Barrett Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1205870433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 ZAMORA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283520",
            "telephone_number": "314-200-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 20",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-325-3068",
            "fax_number": "314-325-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15945 Clayton Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112491",
            "country_code": "US",
            "telephone_number": "636-893-1361",
            "fax_number": "314-325-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JOHN",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1824",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2017031789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI ATHLETIC TRAINER LICENSE",
            "identifier": "2017031789",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA BOC CERTIFICATION",
            "identifier": "069702613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JB",
            "last_name": "BARRETT",
            "credential": "MS, ATC, CES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.