Individual provider Active NPI

Jill Harper Barham, PA-C, MHS, CPO

  • Prosthetist
  • Durham, NC
National Provider Identifier
1831196344
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO02762 Issued in NC
Practice address
6208 Fayetteville Rd
Suite 101
Durham, NC 27713-6286
Phone
(919) 806-3910
Fax
(919) 806-3430
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103244 NC
Prosthetist 224P00000X CPO02762 NC Primary
Orthotist 222Z00000X CPO02762 NC

Addresses

Primary practice location

6208 Fayetteville Rd
Suite 101
Durham, NC 27713-6286

Mailing address

6208 Fayetteville Rd
Suite 101
Durham, NC 27713-6286
Phone (919) 806-3910

Other identifiers 1

IdentifierTypeStateIssuer
7795092MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
CPO02762NCMDOrthotist
103244NCMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jbarham73348@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1831196344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 FAYETTEVILLE RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136286",
            "telephone_number": "919-806-3910",
            "fax_number": "919-806-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 FAYETTEVILLE RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136286",
            "telephone_number": "919-806-3910",
            "fax_number": "919-806-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "JILL",
        "middle_name": "HARPER",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MHS, CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103244",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": "CPO02762",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NC",
            "license": "CPO02762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.