Active NPI
Binta Fatmata Barry, AGNP
- Adult Health Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1386141554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5750
- Practice address
- 255 Smith Ave N Ste 100
Saint Paul, MN 55102 - Phone
- (651) 241-7246
- Fax
- (651) 241-7272
- NPI assigned
- Apr 12, 2018
- Last updated
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5750 | MN | Primary |
Addresses
Primary practice location
255 Smith Ave N Ste 100
Saint Paul, MN 55102
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
360 Sherman St Ste 400
Saint Paul, MN 55102-2425
Phone (651) 225-1102
Other practice location 2
967 Lake St S
Forest Lake, MN 55025-2616
Phone (651) 464-1113
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1386141554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000",
"fax_number": "612-262-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SMITH AVE N STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-241-7246",
"fax_number": "651-241-7272"
}
],
"practiceLocations": [
{
"address_1": "360 Sherman St Ste 400",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022425",
"country_code": "US",
"telephone_number": "651-225-1102",
"fax_number": "612-977-1208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "967 Lake St S",
"address_purpose": "LOCATION",
"city": "Forest Lake",
"state": "MN",
"postal_code": "550252616",
"country_code": "US",
"telephone_number": "651-464-1113",
"fax_number": "651-464-0853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "BINTA",
"middle_name": "FATMATA",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "5750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.