Lynn M Barber, CRNA
Individual provider Active NPI Family Nurse Practitioner · Watertown, NY
NPI 1285661900 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1285661900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F330886 (NY)
- Practice address
- 830 Washington St
Watertown, NY 13601-4066 - Phone
- (315) 785-8509
- Fax
- (315) 785-8619
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F330886 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- 52810@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F330886 | NY | Yes |
Addresses
Primary practice location
830 Washington St
Watertown, NY 13601-4066
Mailing address
445 Factory St
PO Box 91
Watertown, NY 13601-2729
Phone (315) 782-4207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02154754 | Medicaid | NY |
Other providers in Watertown, NY
- Chelsea A Bango
- Johvani E Bantiles
- Eduardo B Barayuga
- Barbara Jean Perez LMSW PLLC
- Tara Marie Barbarito
- Thomas Andrew Barber
- April L Barker
- Arianna Elise Barker I
- Carol Barkley
- Michael Barkley
All providers in Watertown, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.