Active NPI
Kayla Ann Barley, PA
- Physician Assistant
- Green Bay, WI
National Provider Identifier
1457727042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3612-23
- Practice address
- 2020 S Webster Ave
Green Bay, WI 54301-2291 - Phone
- (920) 445-7226
- Fax
- (920) 445-7229
- NPI assigned
- Aug 18, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3612-23 | WI | Primary |
Addresses
Primary practice location
2020 S Webster Ave
Green Bay, WI 54301-2291
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3612-23 | WI | MD | Physician Assistant |
Interoperability endpoints
- kbarley945002@direct.emplifyhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1457727042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012291",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLEY",
"first_name": "KAYLA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3612-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.