Active NPI
Mary F. Barnette, MD
- Pediatrics Physician
- Nacogdoches, TX
National Provider Identifier
1679590152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L3239
- Practice address
- 3614 N University Dr
Nacogdoches, TX 75965-2539 - Phone
- (936) 560-9000
- Fax
- (936) 560-9009
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L3239 | TX | Primary |
Addresses
Primary practice location
3614 N University Dr
Nacogdoches, TX 75965-2539
Mailing address
3614 N University Dr
Nacogdoches, TX 75965-2539
Phone (936) 560-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207405602 | Medicaid | TX | |
| 800443421 | Other | TX | GROUP TAX ID |
| 207405601 | Medicaid | TX | |
| 1467787390 | Other | TX | GROUP NPI |
| 207405603 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3239 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Huggins, D.O., P.a. | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Nacogdoches, TX
- NPI 1467787390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1679590152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759652539",
"telephone_number": "936-560-9000",
"fax_number": "936-560-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759652539",
"telephone_number": "936-560-9000",
"fax_number": "936-560-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETTE",
"first_name": "MARY",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L3239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207405602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "800443421",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207405601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1467787390",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207405603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.