Collette Barr, APRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3090 Issued in AZ

Practice address

3581 W Northern Ave Ste 8
Phoenix, AZ 85051-9404

Phone

(480) 830-9555

Fax

(480) 499-0083

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arizona Healthcare Outreach

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1699307306
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1699308049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 E GARNET CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063266",
            "telephone_number": "480-830-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 W NORTHERN AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519404",
            "telephone_number": "480-830-9555",
            "fax_number": "480-499-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6755 E SUPERSTITION BLVD",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "country_code": "US",
            "telephone_number": "480-218-7590",
            "fax_number": "480-499-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "COLLETTE",
        "name_prefix": "Mrs.",
        "credential": "APRDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H3090",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Baroody
• Michael James Baros, FNP-C
• Dalisa Barquero, ARNP
• Alexandria Barr
• Amanda Jill Barr, RN
• Emily Anne Barr, PA-C
• Patricia N Barrack, MPT
• Fernanda Barragan Garcia, LMSW
• Jaime A Barragan
• Catherine Sico Barrameda, R.P.H.

• Dental Hygienist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.