Individual provider Active NPI

Dana Leneau Barkley, CPNP-AC

  • Pediatric Nurse Practitioner
  • Saint Albans, VT
National Provider Identifier
1588183206
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
101.0135057 Issued in VT
Practice address
11 Crest Rd
Saint Albans, VT 05478-9701
Phone
(802) 527-8189
Fax
(802) 527-8187
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.021670 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.021670 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.021670 OH
Pediatric Nurse Practitioner 363LP0200X 101.0135057 VT Primary

Addresses

Primary practice location

11 Crest Rd
Saint Albans, VT 05478-9701

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7855
Phone (802) 288-1140

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 2

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-2000

Other practice location 3

44 Center St
Enosburg Falls, VT 05450-5795
Phone (802) 527-8189

Other identifiers 1

IdentifierTypeStateIssuer
0242490MedicaidOH

Other names 1

  • Dana Leneau McDermott Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbarkley@pchpmd.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171102000590 OH Practitioner - Nurse Practitioner 6204192529 Reassigns benefits to 1 organization
I20230403000832 VT Practitioner - Nurse Practitioner 6204192529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - New York LLP CurrentSince Dec 17, 2023 Accepting new patients
Children's Surgical Associates, Corporation Acute Care CurrentSince Oct 27, 2017 Accepting new patients
Primary Care Health Partners - Vermont LLP CurrentSince Jan 8, 2024 Accepting new patients
Primary Care Health Partners Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

555 S 18th St
Ste 6E
Columbus, OH 43205

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

44 Center St
Enosburg Falls, VT 05450
Phone (802) 527-8189

11 Crest Rd
Saint Albans, VT 05478
Phone (802) 527-8189

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1588183206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-527-8189",
            "fax_number": "802-527-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Center St",
            "address_purpose": "LOCATION",
            "city": "Enosburg Falls",
            "state": "VT",
            "postal_code": "054505795",
            "country_code": "US",
            "telephone_number": "802-527-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "DANA",
        "middle_name": "LENEAU",
        "credential": "CPNP-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.021670",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.021670",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.021670",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101.0135057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242490",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbarkley@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Crest Rd",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054789701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MCDERMOTT",
            "middle_name": "LENEAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.