Individual provider Active NPI

Kendra L Barker, FNP-BC

  • Family Nurse Practitioner
  • Kingwood, WV
National Provider Identifier
1629133806
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53980 Issued in WV
Practice address
1343 N. Preston Highway
Preston Healthcare Services, LLC.
Kingwood, WV 26537
Phone
(304) 441-2001
Fax
(304) 441-2009
NPI assigned
Dec 27, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53980 WV Primary

Addresses

Primary practice location

1343 N. Preston Highway
Preston Healthcare Services, LLC.
Kingwood, WV 26537

Mailing address

1343 N. Preston Highway
Preston Healthcare Services, LLC.
Kingwood, WV 26537
Phone (304) 441-2001

Other identifiers 1

IdentifierTypeStateIssuer
3810007542MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000009 WV Practitioner - Nurse Practitioner 9739189028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

341 Spruce St
Morgantown, WV 26505-5504
Phone (304) 292-8234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53980WVMDFamily Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1629133806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N. PRESTON HIGHWAY",
            "address_2": "PRESTON HEALTHCARE SERVICES, LLC.",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "26537",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N. PRESTON HIGHWAY",
            "address_2": "PRESTON HEALTHCARE SERVICES, LLC.",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "26537",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "53980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007542",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

Verify at the official NPI Registry.