Individual provider Active NPI

Barbara A Cree, PAC

  • Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1467423111
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000974 Issued in IA
Practice address
3933 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3869
Phone
(319) 363-8148
Fax
(319) 363-9118
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002621 IL
Physician Assistant 363A00000X 000974 IA Primary

Addresses

Primary practice location

3933 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3869

Mailing address

3933 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3869
Phone (319) 363-8148

Other identifiers 1

IdentifierTypeStateIssuer
1467423111MedicaidIA

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1467423111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033869",
            "telephone_number": "319-363-8148",
            "fax_number": "319-363-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033869",
            "telephone_number": "319-363-8148",
            "fax_number": "319-363-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREE",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002621",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467423111",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.