Active NPI
Kevine J Barnett
- Driver
- Milwaukee, WI
National Provider Identifier
1811768179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- B653-5108-3186-06
- Practice address
- 2679 N 30TH St
Milwaukee, WI 53210-2634 - Phone
- (414) 949-2987
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | B653-5108-3186-06 | Primary |
Addresses
Primary practice location
2679 N 30TH St
Milwaukee, WI 53210-2634
Mailing address
2679 N 30TH St
Milwaukee, WI 53210-2634
Phone (414) 949-2987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1811768179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2679 N 30TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102634",
"telephone_number": "414-949-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2679 N 30TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102634",
"telephone_number": "414-949-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "KEVINE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": "B653-5108-3186-06",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.