Active NPI
Kathy Jo Barr, PA
- Physician Assistant
- Mason, MI
National Provider Identifier
1902855935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001578
- Practice address
- 725 S Jefferson St
Mason, MI 48854-1613 - Phone
- (517) 604-1120
- NPI assigned
- May 8, 2006
- Last updated
- Sep 25, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001578 | MI | Primary |
Addresses
Primary practice location
725 S Jefferson St
Mason, MI 48854-1613
Mailing address
725 S Jefferson St
Mason, MI 48854-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902855935 | Medicaid | MI |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001578 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1902855935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S JEFFERSON ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S JEFFERSON ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541613",
"telephone_number": "517-604-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "KATHY",
"middle_name": "JO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902855935",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.