Individual provider Active NPI

Stephanie Lynn Barnes

  • Behavior Technician
  • Pleasant Grove, UT
National Provider Identifier
1407516610
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
533 W State Rd # 103
Pleasant Grove, UT 84062-2114
Phone
(801) 506-6695
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

533 W State Rd # 103
Pleasant Grove, UT 84062-2114

Mailing address

533 W State Rd # 103
Pleasant Grove, UT 84062-2114
Phone (951) 355-3823

Other practice location 1

5024 W Frogs Leap Dr Apt 1205
South Jordan, UT 84009-4738
Phone (951) 355-3823

Other names 1

  • Stephanie Lynn Barnes Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1407516610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W STATE RD # 103",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622114",
            "telephone_number": "951-355-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W STATE RD # 103",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622114",
            "telephone_number": "801-506-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5024 W Frogs Leap Dr Apt 1205",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840094738",
            "country_code": "US",
            "telephone_number": "951-355-3823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BARNES",
            "middle_name": "LYNN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.