Individual provider Active NPI

Shirley J. Barlow, APN, CNM

  • Nurse Practitioner
  • Hildale, UT
National Provider Identifier
1770697351
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
151413-4402 Issued in UT
Practice address
1065 North Hildale
Hildale, UT 84784-0459
Phone
(435) 874-2217
Fax
(435) 874-7805
NPI assigned
Aug 19, 2006
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN086229 AZ
Nurse Practitioner 363L00000X 151413-4402 UT Primary

Addresses

Primary practice location

1065 North Hildale
Hildale, UT 84784-0459

Mailing address

1065 North Hildale
Hildale, UT 84784-0459
Phone (435) 874-2217

Other identifiers 1

IdentifierTypeStateIssuer
333493OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN086229AZMDNurse Practitioner
151413-4402UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hildale Health Service Center Inc Past Accepting new patients
Hildale Health Services LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1770697351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NORTH HILDALE",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847840459",
            "telephone_number": "435-874-2217",
            "fax_number": "435-874-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NORTH HILDALE",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847840459",
            "telephone_number": "435-874-2217",
            "fax_number": "435-874-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "SHIRLEY",
        "middle_name": "J.",
        "credential": "APN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN086229",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "151413-4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "333493",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hildale, UT

Sources for this page

Verify at the official NPI Registry.