Olivia A Barker
Individual provider Active NPI Specialist · Adams, NY
NPI 1366219800 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1366219800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 17545 Doxtater St
Adams, NY 13605-2122 - Phone
- (315) 771-5789
- NPI assigned
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
17545 Doxtater St
Adams, NY 13605-2122
Mailing address
17545 Doxtater St
Adams, NY 13605-2122
Phone (315) 771-5789
Other providers in Adams, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. 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.