Individual provider Active NPI

Kathleen Hathorn Barbour, P.A.

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1215950894
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
863 Issued in OK
Practice address
825 NE 10TH St
Suite 2300
Oklahoma City, OK 73104-5417
Phone
(405) 271-3445
Fax
(405) 271-1405
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 863 OK Primary

Addresses

Primary practice location

825 NE 10TH St
Suite 2300
Oklahoma City, OK 73104-5417

Mailing address

10512 Elmwood Forest Drive
Oklahoma City, OK 73151
Phone (405) 820-0870

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
863OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Oklahoma, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1215950894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 ELMWOOD FOREST DRIVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73151",
            "telephone_number": "405-820-0870",
            "fax_number": "405-340-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "address_2": "SUITE 2300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-3445",
            "fax_number": "405-271-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "KATHLEEN",
        "middle_name": "HATHORN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.