Active NPI
Mayra Barnes, LMT
- Specialist
- Orlando, FL
National Provider Identifier
1841428265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA53355
- Practice address
- 8418 Lake Bosse Dr.
Orlando, FL 32810 - Phone
- (407) 595-9505
- Fax
- (407) 292-8470
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA53355 | FL | Primary |
Addresses
Primary practice location
8418 Lake Bosse Dr.
Orlando, FL 32810
Mailing address
8418 Lake Bosse Dr.
Orlando, FL 32810
Phone (407) 595-9505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000696800 | Medicaid | FL |
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 |
|---|---|---|---|
| MA53355 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1841428265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8418 LAKE BOSSE DR.",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32810",
"telephone_number": "407-595-9505",
"fax_number": "407-292-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8418 LAKE BOSSE DR.",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32810",
"telephone_number": "407-595-9505",
"fax_number": "407-292-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "MAYRA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA53355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000696800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.