Individual provider Active NPI

Koren Lynn Barrett, ND

  • Naturopath
  • Costa Mesa, CA
National Provider Identifier
1225255391
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-10 Issued in CA
Practice address
1831 Orange Ave
Suite B
Costa Mesa, CA 92627-2839
Phone
(949) 642-4324
Fax
(949) 548-8233
NPI assigned
Apr 19, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-10 CA Primary

Addresses

Primary practice location

1831 Orange Ave
Suite B
Costa Mesa, CA 92627-2839

Mailing address

1831 Orange Ave
Suite B
Costa Mesa, CA 92627-2839
Phone (949) 642-4324

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
ND-10CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1225255391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 ORANGE AVE",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272839",
            "telephone_number": "949-642-4324",
            "fax_number": "949-600-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 ORANGE AVE",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272839",
            "telephone_number": "949-642-4324",
            "fax_number": "949-548-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KOREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.