Active NPI
Mary E. Barth, RNNP
- Family Nurse Practitioner
- Palm Springs, CA
National Provider Identifier
1841449840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 368612
- Practice address
- 1801 E. Tahquitz Canyon Way
Suite 102
Palm Springs, CA 92262 - Phone
- (760) 327-5900
- Fax
- (760) 327-5905
- NPI assigned
- Sep 15, 2008
- Last updated
- Jun 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 368612 | CA | Primary |
Addresses
Primary practice location
1801 E. Tahquitz Canyon Way
Suite 102
Palm Springs, CA 92262
Mailing address
1801 E. Tahquitz Canyon Way
Suite 102
Palm Springs, CA 92262
Phone (760) 327-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3676 | Other | CA | FURNISHING LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368612 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1841449840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E. TAHQUITZ CANYON WAY",
"address_2": "SUITE 102",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92262",
"telephone_number": "760-327-5900",
"fax_number": "760-327-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E. TAHQUITZ CANYON WAY",
"address_2": "SUITE 102",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92262",
"telephone_number": "760-327-5900",
"fax_number": "760-327-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "MARY",
"middle_name": "E.",
"credential": "RNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "368612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FURNISHING LICENSE",
"identifier": "3676",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.