Active NPI
Rebecca Jane Barnes, PA-C
- Medical Physician Assistant
- Boulder, CO
National Provider Identifier
1528297439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2813
- Practice address
- 805 S Broadway St
Ste 103
Boulder, CO 80305-5971 - Phone
- (303) 449-3100
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2813 | CO | Primary |
Addresses
Primary practice location
805 S Broadway St
Ste 103
Boulder, CO 80305-5971
Mailing address
3301 W 144TH Ave
Ste 200
Broomfield, CO 80023-5971
Phone (303) 438-5522
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2813 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1528297439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W 144TH AVE",
"address_2": "STE 200",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800235971",
"telephone_number": "303-438-5522",
"fax_number": "303-438-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S BROADWAY ST",
"address_2": "STE 103",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055971",
"telephone_number": "303-449-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "REBECCA",
"middle_name": "JANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.