Laura Ann Barry, D.C.
Individual provider Active NPI Chiropractor · Sebastopol, CA
NPI 1487076071 · NPPES record last updated Jan 15, 2014
Key facts
- NPI
- 1487076071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC21228 (CA)
- Practice address
- 145 Pleasant Hill Ave N
Ste 104
Sebastopol, CA 95472-3108 - Phone
- (707) 824-0790
- Fax
- (707) 824-0790
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221222000809 | CA | Practitioner - Chiropractic | 1951771534 | Practice locations: Sebastopol, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21228 | CA | MD | Chiropractor |
| 21228 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC21228 | CA | Yes |
Addresses
Primary practice location
145 Pleasant Hill Ave N
Ste 104
Sebastopol, CA 95472-3108
Mailing address
145 Pleasant Hill Ave N
Ste 104
Sebastopol, CA 95472-3108
Phone (707) 824-0790
Other providers in Sebastopol, CA
- Cynthia Steffensen Bailey
- Ellen Barbieri
- Elizabeth Barone
- Barry S Green O.D. Inc.
- Kathryn Barry
- Olivia Kathleen Barry
- Jason Alan Bartholomew
- Marcy Jane Basel
- Michelle Rose Bashaw
- Vija A Bauer-Lindbergs
All providers in Sebastopol, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.