Individual provider Active NPI

Tina Marie Barker, DNP, FNP, AGACNP-BC

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1437381498
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27156 Issued in MT
Practice address
500 W Broadway St
Missoula, MT 59802
Phone
(406) 329-2736
Fax
(406) 829-0661
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NUR-APRN-LIC-100471 MT
Family Nurse Practitioner 363LF0000X 27156 MT Primary

Addresses

Primary practice location

500 W Broadway St
Missoula, MT 59802

Mailing address

796 Eliza CT
Missoula, MT 59804-2000
Phone (406) 223-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000497 MT Practitioner - Nurse Practitioner 7517096043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-100471MTMDAcute Care Nurse Practitioner
27156MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatland Memorial Healthcare CurrentSince Apr 5, 2014 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Apr 5, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Livingston Healthcare Past Accepting new patients
Wheatland Memorial Healthcare Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1437381498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 ELIZA CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598042000",
            "telephone_number": "406-223-1043",
            "fax_number": "406-829-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-329-2736",
            "fax_number": "406-829-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "DNP, FNP, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-100471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "27156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.