Individual provider Active NPI

Kathryn Genevieve Barnard, M.D.

  • Internal Medicine Physician
  • Los Alamos, NM
National Provider Identifier
1366440141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003-0175 Issued in NM
Practice address
3917 West Rd
Suite 138
Los Alamos, NM 87544-2275
Phone
(505) 661-9030
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
Yes

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003-0175NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Physician Practices LLC Internal Medicine Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-0175 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

3917 West Rd
Suite 138
Los Alamos, NM 87544-2275

Mailing address

138 Aragon Ave
Los Alamos, NM 87544-3502
Phone (505) 661-9030

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
17880254MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366440141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ARAGON AVE",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443502",
            "telephone_number": "505-661-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 138",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-661-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "KATHRYN",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2003-0175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17880254",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

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.