Lisa C Barnes, ARNP
Individual provider Active NPI Nurse Practitioner · Pomeroy, WA
NPI 1720274459 · NPPES record last updated Mar 11, 2010
Key facts
- NPI
- 1720274459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP30007819 (WA)
- Practice address
- 446 Pataha St.
Pomeroy Medical Clinic
Pomeroy, WA 99347 - Phone
- (509) 843-1491
- Fax
- (509) 843-1740
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007819 | WA | Yes |
Addresses
Primary practice location
446 Pataha St.
Pomeroy Medical Clinic
Pomeroy, WA 99347
Mailing address
Garfield County Public Hospital District #1
66 N. Sixth St.
Pomeroy, WA 99347-9705
Phone (509) 843-1591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807849100 | Other | ID | STATE OF IDAHO MEDICAID |
| 8945416 | Other | WA | L&I |
Other providers in Pomeroy, WA
- Blue Mountain Pharmacy Inc
- Virginia R. Boyd
- Jemima Valenzuela Crossfield
- Emerson Curtis Fillippa
- Garfield County Fire District
All providers in Pomeroy, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2010. 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.