Dwayne Barrow Sr., NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95010970 Issued in CA

Practice address

358 E Javelina Ave Ste 101
Mesa, AZ 85210-6205

Phone

(562) 523-9683

Fax

(562) 408-1120

NPI assigned

Mar 27, 2020

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Agricola Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1497424360
  NPD Authorized official
• Agricola Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1447970066
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1487282497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E JAVELINA AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106205",
            "telephone_number": "562-523-9683",
            "fax_number": "562-408-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E JAVELINA AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106205",
            "telephone_number": "562-523-9683",
            "fax_number": "562-408-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROW",
        "first_name": "DWAYNE",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Barrett
• Leia Barrett
• Melissa Ann Barrett, PA-C
• Mikala Barretto
• Judith Barron, MS, BCBA, LBA
• Stacy Elizabeth Barrows, FNP-C
• Barry Barton MD PLLC
• Barry S Herndon OD PLLC
• Andrea Barsness, O. D.
• Brenda Kay Barta, MS, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.