Peter Charles Barnett

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

8305277 Issued in OH

Practice address

1230 Anthony LN
Mason, OH 45040-1139

Phone

(513) 502-0425

Fax

(513) 729-6552

NPI assigned

Oct 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alexa Way LLC

  • Home Health Agency
  • Mason, OH
  • NPI 1568187953
  NPD Authorized official

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1700501186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7183 SCARLET OAK CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407304",
            "telephone_number": "513-502-0425",
            "fax_number": "513-729-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ANTHONY LN",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401139",
            "telephone_number": "513-502-0425",
            "fax_number": "513-729-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "8305277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD CONTRACT NUMBER",
            "identifier": "8305277",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498311",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Benjamin Bandman
• Crystal Banks
• Rewa A Banks, CNP
• Ugoala C Banks, MD
• Elizabeth Barnes, PA-C
• Dawn Marie Barot, CDMS, CCM
• Nicholas J Barsan, RPH
• Peggy L Barsan, RPH
• Melissa Lynn Basile, OT
• Jason Bast, LPC

• All providers in Mason, OH
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.