Individual provider Active NPI

Rebecca Lynn Barnosky, CHW

  • Community Health Worker
  • Carleton, MI
National Provider Identifier
1386473908
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
11270 Grafton Rd RM 215
Carleton, MI 48117-9392
Phone
(734) 847-3802
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

11270 Grafton Rd RM 215
Carleton, MI 48117-9392

Mailing address

8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802

Other practice location 1

11270 Grafton Rd Rm 112
Carleton, MI 48117-9392
Phone (734) 847-3802

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince Aug 4, 2024 Accepting new patients
Family Medical Center of Michigan,Inc PastSince Aug 4, 2024 Accepting new patients

Locations

11270 Grafton Rd
Rm 215
Carleton, MI 48117

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1386473908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829583",
            "telephone_number": "734-847-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 GRAFTON RD RM 215",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179392",
            "telephone_number": "734-847-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11270 Grafton Rd Rm 112",
            "address_purpose": "LOCATION",
            "city": "Carleton",
            "state": "MI",
            "postal_code": "481179392",
            "country_code": "US",
            "telephone_number": "734-847-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNOSKY",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carleton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.