Barrett Clinic PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BARRETT CLINIC PC

Practice address

8074 S 84TH St
La Vista, NE 68128-3303

Phone

(402) 991-9500

Fax

(402) 991-9564

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Lee Barrett, APRN

Title

Ceo/Owner/Founder

Phone

(402) 991-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10185/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1215340096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283303",
            "telephone_number": "402-991-9500",
            "fax_number": "402-991-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283303",
            "telephone_number": "402-991-9500",
            "fax_number": "402-991-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/OWNER/FOUNDER",
        "authorized_official_telephone_number": "402-991-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "110993",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026518601",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Ann Atwater-Yeager, PT, DPT
• Mary Avant
• Amber Ayers
• Marie Ida Bakou
• Jessica Barnett
• Mitchell Barrett, APRN
• Claudia Barthelemy Escalona
• Natasha Baugus
• Karrie Bauman
• Lois Jean Becker, MD

• Nurse Practitioner in La Vista, NE
• Providers in La Vista, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.