Michael Shane Barrett, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

274223 Issued in AZ

Practice address

3701 E Broadway Ave
Apache Junction, AZ 85119-9301

Phone

(480) 677-7510

Fax

(480) 288-0532

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1891422994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 W MAIN ST APT 2009",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852019006",
            "telephone_number": "929-363-8803",
            "fax_number": "480-288-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E BROADWAY AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851199301",
            "telephone_number": "480-677-7510",
            "fax_number": "480-288-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "274223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.barrett@goaj.org",
            "affiliation": "N",
            "endpointDescription": "Organization Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3701 E Broadway Ave",
            "city": "Apache Junction",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851199301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• School Registered Nurse in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.