Active NPI
Justin Barnes, LPN
- Licensed Vocational Nurse
- Hulbert, OK
National Provider Identifier
1407607104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- L0066250
- Practice address
- 9691 W 760 Rd
Hulbert, OK 74441-2628 - Phone
- (918) 990-0768
- NPI assigned
- Mar 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | L0066250 | OK | Primary |
Addresses
Primary practice location
9691 W 760 Rd
Hulbert, OK 74441-2628
Mailing address
PO Box 85
Braggs, OK 74423-0085
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 |
|---|---|---|---|
| L0066250 | OK | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1407607104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "BRAGGS",
"state": "OK",
"postal_code": "744230085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9691 W 760 RD",
"city": "HULBERT",
"state": "OK",
"postal_code": "744412628",
"telephone_number": "918-990-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "JUSTIN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "OK",
"license": "L0066250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hulbert, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.