Deborah Ann Baresic, WHNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

71000624A Issued in IN

Practice address

7910 W Jefferson Blvd
Ste 301
Fort Wayne, IN 46804-4159

Phone

(260) 432-6250

Fax

(260) 432-6077

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336351089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 WOODCREST DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155568",
            "telephone_number": "260-485-6428",
            "fax_number": "260-436-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "STE 301",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-432-6250",
            "fax_number": "260-432-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARESIC",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "71000624A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "71000624A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara's New Beginnings,LLC
• Diana E Barbu, M.D.
• Angie Nicole Barchak, PHARM.D.
• Andrew C Barchus, N.P.
• Karissa Barela, DO
• Anna Barg, OTR/L
• Grace Esther Barge, BA, RBT
• Cynthia K Barger, SLP
• Emily Paige Barger
• Karen B. Barile, N.P.

• Obstetrics & Gynecology Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Indiana

• 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.