Emma Barner

Key facts

NPI

1831880939

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

License

600186415 (WI)

Practice address

15954 Riversedge Drive
Hayward, WI 54843

Phone

(715) 634-2541

NPI assigned

May 18, 2023

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• The Lakes Community Health Center, Inc Federally Qualified Health Center (FQHC) · White Lake, WI · NPI 1679983423
  NPD (past)
• The Lakes Community Health Center, Inc Federally Qualified Health Center (FQHC) · Iron River, WI · NPI 1811178825
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2025.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1831880939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15960 W 5TH ST",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 RIVERSEDGE DRIVE",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-2541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "866-626-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNER",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "600186415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michele E. Armstrong, M.D.
• Julie A Arnett, RN, CNP
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• Yessica Barron, LPC-IT
• Tanya M. Barton, DPM
• Marie Annette Basty, LICENSED CLINICAL SO
• John William Bauer
• Susan Beth Bauer, CRNA

All providers in Hayward, WI · Dentist in Wisconsin