Active NPI
Jack Barlow
- Registered Nurse
- St Louis Park, MN
National Provider Identifier
1619802576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2489513
- Practice address
- 4025 Meadowbrook LN
St Louis Park, MN 55426-4608 - Phone
- (651) 212-8339
- NPI assigned
- Jun 15, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2489513 | MN | Primary |
Addresses
Primary practice location
4025 Meadowbrook LN
St Louis Park, MN 55426-4608
Mailing address
4025 Meadowbrook LN
St Louis Park, MN 55426-4608
Phone (651) 212-8339
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1619802576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 MEADOWBROOK LN",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264608",
"telephone_number": "651-212-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 MEADOWBROOK LN",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264608",
"telephone_number": "651-212-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "JACK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2489513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.