Active NPI
Diane Barrera, NP
- Family Nurse Practitioner
- Prescott, AZ
National Provider Identifier
1689097792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN065718
- Practice address
- 1090 Commerce Dr
Prescott, AZ 86305-3700 - Phone
- (928) 583-1000
- Fax
- (866) 751-4157
- NPI assigned
- Jan 24, 2014
- Last updated
- Dec 27, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN065718 | AZ | Primary |
Addresses
Primary practice location
1090 Commerce Dr
Prescott, AZ 86305-3700
Mailing address
8330 E Sapphire Drive
Prescott, AZ 86301
Phone (480) 773-4925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 974083 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B Healthy Family Medicine, LLC | Current | Accepting new patients | |
| County of Yavapai | Current | Accepting new patients |
Locations
1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Prescott, AZ
- NPI 1447652029
-
dba Yavapai County Community Health Services
- Public Health or Welfare Agency
- Prescott, AZ
- NPI 1952501389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1689097792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8330 E SAPPHIRE DRIVE",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "480-773-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 COMMERCE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"telephone_number": "928-583-1000",
"fax_number": "866-751-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "DIANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN065718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "974083",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.