Tesica Barnes

Individual provider Active NPI Attendant Care Provider · Tavares, FL

NPI 1265109698 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1265109698
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1554 Auburn Hills CT
Tavares, FL 32778-5782
Phone
(407) 756-9492
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
J&T Divine Care Past
since Aug 29, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1554 Auburn Hills CT
Tavares, FL 32778-5782

Mailing address

1554 Auburn Hills CT
Tavares, FL 32778-5782
Phone (407) 756-9492

Other providers in Tavares, FL

All providers in Tavares, FL · Attendant Care Provider in Florida

Sources for this page

Verify at the official NPI Registry.