Vernetta P. Barton, M.SP., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Walnut Grove, MS

NPI 1467625830 · NPPES record last updated Apr 8, 2008

Key facts

NPI
1467625830
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S0742 (MS)
Practice address
154 Truelight Rd
Walnut Grove, MS 39189-5028
Phone
(601) 253-2503
Fax
(601) 253-2325
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S0742MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S0742 MS Yes

Addresses

Primary practice location

154 Truelight Rd
Walnut Grove, MS 39189-5028

Mailing address

154 Truelight Rd
Walnut Grove, MS 39189-5028
Phone (601) 253-2503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2008.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1467625830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 TRUELIGHT RD",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391895028",
            "telephone_number": "601-253-2503",
            "fax_number": "601-253-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TRUELIGHT RD",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391895028",
            "telephone_number": "601-253-2503",
            "fax_number": "601-253-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "VERNETTA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "M.SP., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Grove, MS

All providers in Walnut Grove, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.