Carly Victoria Barnes, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000026567 Issued in TN

Practice address

2103 Forest Dr Ste 5
Gray, TN 37615-8423

Phone

(423) 794-3142

Fax

(423) 794-3184

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carly Victoria Barnes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1669914545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORTH CIR STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014306",
            "telephone_number": "423-262-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FOREST DR STE 5",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376158423",
            "telephone_number": "423-794-3142",
            "fax_number": "423-794-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 Papermill Pointe Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091903",
            "country_code": "US",
            "telephone_number": "865-219-3506",
            "fax_number": "865-588-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "CARLY",
        "middle_name": "VICTORIA",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000026567",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000212538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BARNES",
            "middle_name": "VICTORIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Marie Archer, CRNA
• Associated Pain Specialists, PC
• Associated Wound Specialists PC
• Sherry V. Attride, LMFT
• Barnes Exterminating Company
• Kathy Beard
• Better Life Medical PC
• Kirk L Black, MA, THERAPIST
• Blue Ridge Medical Management Corporation
• Blue Ridge Medical Management Corporation

• All providers in Gray, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.