Lisa C Barnes, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30007819 Issued in 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

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1720274459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1",
            "address_2": "66 N. SIXTH ST.",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "993479705",
            "telephone_number": "509-843-1591",
            "fax_number": "509-843-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 PATAHA ST.",
            "address_2": "POMEROY MEDICAL CLINIC",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-1491",
            "fax_number": "509-843-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "8945416",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO MEDICAID",
            "identifier": "807849100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Mountain Pharmacy Inc (Pomeroy Pharmacy)
• Virginia R. Boyd, LPN/IV TECH
• Jemima Valenzuela Crossfield, LMP
• Emerson Curtis Fillippa, DO
• Garfield County Fire District (Garfield County Ambulance)

• Nurse Practitioner in Pomeroy, WA
• Providers in Pomeroy, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.