Individual provider Active NPI

Maria Alicia Barrera I, RMA/RST/ESTHETICIAN

  • Surgical Technologist
  • Benton City, WA
National Provider Identifier
1578869251
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
ST00002766 Issued in WA
Practice address
1114 Ione Drive
Benton City, WA 99320
Phone
(509) 305-6943
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X ST00002766 WA Primary

Addresses

Primary practice location

1114 Ione Drive
Benton City, WA 99320

Mailing address

1114 Ione Dr
1114 Ione Drive
Benton City, WA 99320-4523
Phone (509) 305-6943

Other names 1

  • Miss Maria Alicia Barrera I Professional name

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
Credentials
Registered Medical Assistant

State licenses

LicenseStateTypeSpecialty
ST00002766WAMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1578869251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 IONE DR",
            "address_2": "1114 IONE DRIVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993204523",
            "telephone_number": "509-305-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 IONE DRIVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-305-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "MARIA",
        "middle_name": "ALICIA",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "RMA/RST/ESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WA",
            "license": "ST00002766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BARRERA",
            "middle_name": "ALICIA",
            "prefix": "MISS",
            "suffix": "I",
            "credential": "RMA/RST/ESTHETICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Benton City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.