Active NPI
Stephanie Gayle Barnes, RH.D
- Rehabilitation Practitioner
- St Petersburg, FL
National Provider Identifier
1376150276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 0135
- Practice address
- 610 47TH Ave N
St Petersburg, FL 33703 - Phone
- (502) 216-1777
- Fax
- (727) 245-8101
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 0135 | KY | |
| Rehabilitation Practitioner | 225400000X | 0135 | KY | Primary |
Addresses
Primary practice location
610 47TH Ave N
St Petersburg, FL 33703
Mailing address
610 47TH Ave N
St Petersburg, FL 33703
Phone (502) 216-1777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0135 | KY | MD | Adult Mental Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1376150276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 47TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33703",
"telephone_number": "502-216-1777",
"fax_number": "727-245-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 47TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33703",
"telephone_number": "502-216-1777",
"fax_number": "727-245-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "STEPHANIE",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "RH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "KY",
"license": "0135",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "KY",
"license": "0135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.