Active NPI
Maria Alicia Barrera I, RMA/RST/ESTHETICIAN
- Surgical Technologist
- Benton City, WA
National Provider Identifier
1578869251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- ST00002766
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ST00002766 | WA | MD | Surgical 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.