Patricia Barksdale

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

302272 Issued in MS

Practice address

1935 Lakeland Dr
Jackson, MS 39216-5028

Phone

(601) 718-2468

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1841925211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165028",
            "telephone_number": "601-718-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165028",
            "telephone_number": "601-718-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "302272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "JacksonCTC",
            "affiliation": "N",
            "endpointDescription": "JacksonCTC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jackson CTC",
            "address_1": "1935 Lakeland Dr",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392165028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JacksonCTC",
            "affiliation": "N",
            "endpointDescription": "JacksonCTC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JacksonCTC",
            "address_1": "1935 Lakeland Dr",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392165028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JacksonCTC",
            "affiliation": "N",
            "endpointDescription": "JacksonCTC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JacksonCTC",
            "address_1": "1935 Lakeland Dr",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392165028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Elias Barker, MD
• Laura Katherine Barker
• Jessica Mae Barkhouse, DO
• Phillip Jeff Barkley, DMD
• Bryan Barksdale, MD
• Rachel Jannell Barksdale, FNP
• Christina L Barlow, M.D.
• Cynthia P Barlow, LCSW
• Elizabeth Barlow, RD, CDCES
• Dareji Barnard, MD

• All providers in Jackson, MS
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.