Individual provider Active NPI

Simone C Barnhill

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
National Provider Identifier
1932394129
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
016513601 Issued in TX
Practice address
6105 Louisville Dr
Lubbock, TX 79413-5327
Phone
(806) 780-8333
Fax
(806) 780-8444
NPI assigned
Sep 11, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 016513601 TX Primary
Customized Equipment (DME) 332BC3200X 016513601 TX

Addresses

Primary practice location

6105 Louisville Dr
Lubbock, TX 79413-5327

Mailing address

6105 Louisville Dr
Lubbock, TX 79413-5327
Phone (806) 780-8333

Other identifiers 3

IdentifierTypeStateIssuer
016513601MedicaidTX
69713MedicaidNM
010690801MedicaidTX

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

LicenseStateTypeSpecialty
016513601TXMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1932394129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 LOUISVILLE DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135327",
            "telephone_number": "806-780-8333",
            "fax_number": "806-780-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 LOUISVILLE DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135327",
            "telephone_number": "806-780-8333",
            "fax_number": "806-780-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHILL",
        "first_name": "SIMONE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "016513601",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "016513601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016513601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69713",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010690801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.