Barbara Jollymumm
Individual provider Active NPI Counselor · Baker, NV
NPI 1710273404 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1710273404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2000 Hidden Canyon Parkway
Baker, NV 89311 - Phone
- (775) 234-7267
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2000 Hidden Canyon Parkway
Baker, NV 89311
Mailing address
PO Box 166
Baker, NV 89311-0166
Phone (775) 234-7267
NPI Registry JSON
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1710273404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 166",
"city": "BAKER",
"state": "NV",
"postal_code": "893110166",
"telephone_number": "775-234-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HIDDEN CANYON PARKWAY",
"city": "BAKER",
"state": "NV",
"postal_code": "89311",
"telephone_number": "775-234-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLYMUMM",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baker, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.