Active NPI
Stephanie Barrett
- Peer Specialist
- Riverside, CA
National Provider Identifier
1891420626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 00000000000000000000
- Practice address
- 9890 County Farm Rd
Riverside, CA 92503-3678 - Phone
- (510) 337-7950
- NPI assigned
- Jul 16, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 00000000000000000000 | CA | Primary |
Addresses
Primary practice location
9890 County Farm Rd
Riverside, CA 92503-3678
Mailing address
5310 Canyon Crest Dr Apt 41
Riverside, CA 92507-6366
Phone (562) 253-7099
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 |
|---|---|---|---|
| 00000000000000000000 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1891420626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 CANYON CREST DR APT 41",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076366",
"telephone_number": "562-253-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9890 COUNTY FARM RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033678",
"telephone_number": "510-337-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-16",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "00000000000000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.