Individual provider Active NPI

Gale Annette Barker, CDA

  • Preferred Provider Organization
  • Winslow, AR
National Provider Identifier
1508010398
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
12688 Issued in AR
Practice address
178 Pinehaven Dr
Winslow, AR 72959-2500
Phone
(479) 634-2007
Fax
(479) 634-2007
NPI assigned
Nov 6, 2008
Last updated
Jan 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 12688 AR Primary

Addresses

Primary practice location

178 Pinehaven Dr
Winslow, AR 72959-2500

Mailing address

178 Pinehaven Dr
Winslow, AR 72959-2500
Phone (479) 634-2007

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12688ARMDPreferred Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1508010398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 PINEHAVEN DR",
            "city": "WINSLOW",
            "state": "AR",
            "postal_code": "729592500",
            "telephone_number": "479-634-2007",
            "fax_number": "479-634-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 PINEHAVEN DR",
            "city": "WINSLOW",
            "state": "AR",
            "postal_code": "729592500",
            "telephone_number": "479-634-2007",
            "fax_number": "479-634-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "GALE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "CDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.