Organization Active NPI

M. Therese Barrett, MD PC

Doing business as Centennial Women's Health Center

  • Specialist
  • Longmont, CO
National Provider Identifier
1568669943
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
M. THERESE BARRETT, MD PC
Doing business as
Centennial Women's Health Center
Practice address
231 E 9TH Ave
Suite 1a
Longmont, CO 80504-4686
Phone
(303) 651-2800
Fax
(303) 774-9100
NPI assigned
Jun 29, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Mary T Barrett, M.D.NPI 1902983976
Title
Owner
Phone
(303) 651-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

231 E 9TH Ave
Suite 1a
Longmont, CO 80504-4686

Mailing address

231 E 9TH Ave
Suite 1a
Longmont, CO 80504-4686
Phone (303) 651-2800

Other identifiers 1

IdentifierTypeStateIssuer
1568669943OtherCOGROUP

Other names 1

  • Centennial Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000600 CO Part B Supplier - Clinic/Group Practice 3476649625 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory
Tax ID family
Centennial Women's Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

231 E 9th Ave
Ste 1A
Longmont, CO 80504
Phone (303) 651-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1568669943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E 9TH AVE",
            "address_2": "SUITE 1A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805044686",
            "telephone_number": "303-651-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E 9TH AVE",
            "address_2": "SUITE 1A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805044686",
            "telephone_number": "303-651-2800",
            "fax_number": "303-774-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. THERESE BARRETT, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-651-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1568669943",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.