Active NPI
Eleanore A Barry-Prather, MD
- Internal Medicine Physician
- Farmington, NM
National Provider Identifier
1508978370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 98218
- Practice address
- 110 E Apache St
Farmington, NM 87401-6902 - Phone
- (505) 564-7903
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 98218 | NM | Primary |
Addresses
Primary practice location
110 E Apache St
Farmington, NM 87401-6902
Mailing address
110 E Apache St
Farmington, NM 87401-6902
Phone (505) 564-7903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM004695 | Other | NM BS | |
| 110731579 | Other | RRM CARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98218 | NM | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1508978370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016902",
"telephone_number": "505-564-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016902",
"telephone_number": "505-564-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY-PRATHER",
"first_name": "ELEANORE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "98218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM BS",
"identifier": "NM004695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM CARE",
"identifier": "110731579",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.