Active NPI
Jean L Barnes, ENP
- Nurse Practitioner
- Spring, TX
National Provider Identifier
1700034220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 617244
- Practice address
- 3419 Peachstone PL
Spring, TX 77389-5111 - Phone
- (713) 702-9732
- Fax
- (281) 355-0688
- NPI assigned
- Sep 9, 2008
- Last updated
- May 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 617244 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 617244 | TX |
Addresses
Primary practice location
3419 Peachstone PL
Spring, TX 77389-5111
Mailing address
3419 Peachstone PL
Spring, TX 77389-5111
Phone (713) 702-9732
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700034220 | Other | TX | BCBSTX |
| 197972603 | Medicaid | TX | |
| 197972602 | Medicaid | TX | |
| 1700034220 | Other | TX | TRICARE SOUTH |
| 8Y8948 | Other | TX | BCBSTX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1700034220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 PEACHSTONE PL",
"city": "SPRING",
"state": "TX",
"postal_code": "773895111",
"telephone_number": "713-702-9732",
"fax_number": "281-355-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 PEACHSTONE PL",
"city": "SPRING",
"state": "TX",
"postal_code": "773895111",
"telephone_number": "713-702-9732",
"fax_number": "281-355-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "JEAN",
"middle_name": "L",
"credential": "ENP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "617244",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "617244",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "1700034220",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197972603",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197972602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "1700034220",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8Y8948",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.