Sandra Lynn Barrett
Individual provider Active NPI Homemaker · Moraine, OH
NPI 1851993091 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1851993091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 5277 Cobblegate Blvd Apt F
Moraine, OH 45439-6110 - Phone
- (372) 125-9789
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
5277 Cobblegate Blvd Apt F
Moraine, OH 45439-6110
Mailing address
5277 Cobblegate Blvd Apt F
Moraine, OH 45439-6110
Phone (937) 212-5978
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301920 | Other | OH | DODD CONTRACT # |
| 2961488 | Medicaid | OH |
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.