Active NPI
Catherine Rose Barefoot, PA
- Physician Assistant
- Greensboro, NC
National Provider Identifier
1235261819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102203
- Practice address
- 604 Candlewood Dr
Greensboro, NC 27403-1103 - Phone
- (336) 253-8468
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102203 | NC | Primary |
Addresses
Primary practice location
604 Candlewood Dr
Greensboro, NC 27403-1103
Mailing address
604 Candlewood Dr
Greensboro, NC 27403-1103
Phone (336) 253-8468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9109485 | Other | FL | FL PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102203 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235261819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 CANDLEWOOD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031103",
"telephone_number": "336-253-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 CANDLEWOOD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031103",
"telephone_number": "336-253-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREFOOT",
"first_name": "CATHERINE",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL PA LICENSE",
"identifier": "PA9109485",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Joshua Blake Barber, DPT
- William Byron Barber II, M.D.
- Crystal Barbour, OTR
- Logan Secor Barbour, PT, DPT
- Tania Lalli Bardsley, CRNA
- Lisa Ann Barella, MS, LPCA, NCC
- Rebeccca Ann Bargeron, CRNA
- Barium Springs Home for Children (Children's Hope Alliance)
- Diane Regina Barker, CCC/SLP
- Joseph Barker, LCSW-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.