Sara A Barrett
Individual provider Active NPI Registered Nurse · Macomb, MI
NPI 1669643284 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1669643284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704106518 (MI)
- Practice address
- 45964 Brentwood St
Macomb, MI 48042-5410 - Phone
- (616) 301-8000
- Fax
- (248) 338-7513
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704106518 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Community Living, Inc. | Past | Accepting new patients | |
| Alternative Community Living Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704106518 | MI | Yes |
Addresses
Primary practice location
45964 Brentwood St
Macomb, MI 48042-5410
Mailing address
45964 Brentwood St
Macomb, MI 48042-5410
Phone (616) 301-8000
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.