Individual provider Active NPI

Joyce Denise Barker, CFNP

  • Family Nurse Practitioner
  • Heidelberg, MS
National Provider Identifier
1295871259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R624705 Issued in MS
Practice address
309 Pine Ave
Heidelberg, MS 39439
Phone
(601) 787-3464
Fax
(601) 787-3400
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R624705 MS Primary

Addresses

Primary practice location

309 Pine Ave
Heidelberg, MS 39439

Mailing address

905 County Road 31
Heidelberg, MS 39439
Phone (601) 787-3486

Other identifiers 1

IdentifierTypeStateIssuer
0116848MedicaidMS

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
R624705MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Health Services,Inc. Past Accepting new patients
Outreach Health Services,Inc. PastSince Jan 25, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 COUNTY ROAD 31",
            "city": "HEIDELBERG",
            "state": "MS",
            "postal_code": "39439",
            "telephone_number": "601-787-3486",
            "fax_number": "601-787-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PINE AVE",
            "city": "HEIDELBERG",
            "state": "MS",
            "postal_code": "39439",
            "telephone_number": "601-787-3464",
            "fax_number": "601-787-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JOYCE",
        "middle_name": "DENISE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R624705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heidelberg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.