Active NPI
Jill Harper Barham, PA-C, MHS, CPO
- Prosthetist
- Durham, NC
National Provider Identifier
1831196344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795092 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CPO02762 | NC | MD | Orthotist |
| 103244 | NC | MD | Medical Physician Assistant |
Interoperability endpoints
- 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.