Individual provider Active NPI

Lisa Rebecca Barker, MD

  • Family Medicine Physician
  • Benton, AR
National Provider Identifier
1235209198
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4957 Issued in AR
Practice address
1304 Military Rd
Benton, AR 72015-2911
Phone
(501) 778-0934
Fax
(501) 778-8377
NPI assigned
Nov 8, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4957 AR Primary

Addresses

Primary practice location

1304 Military Rd
Benton, AR 72015-2911

Mailing address

1304 Military Rd
Benton, AR 72015-2911
Phone (501) 778-0934

Other identifiers 1

IdentifierTypeStateIssuer
166515001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000755 AR Practitioner - Family Practice 7315031366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospective Health LTDGroup PAC ID 1456445402, 9 clinicians

Practice addresses (Care Compare)

1304 Military Rd
Benton, AR 72015-2911
Phone (501) 778-0934

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospective Health LTD Family Medicine CurrentSince Jul 25, 2007 Accepting new patients
Neuroscience Associates PA Past Accepting new patients
West Leslie ER Physicians LLC Past Accepting new patients

Locations

1304 Military Rd
Benton, AR 72015
Phone (501) 778-0934

3 Medical Park Dr
Ste 100
Benton, AR 72015
Phone (501) 778-0427

Interoperability endpoints

  • Direct secure messaging: lisabarker-mmfpas@direct.medalliesmail.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1235209198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152911",
            "telephone_number": "501-778-0934",
            "fax_number": "501-778-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152911",
            "telephone_number": "501-778-0934",
            "fax_number": "501-778-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "LISA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166515001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.