Individual provider Active NPI

Roy A. Barg, CNA

  • Home Health Aide
  • Mansfield, TX
National Provider Identifier
1952609067
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1124 Clubhouse Dr
Suite 01
Mansfield, TX 76063-2676
Phone
(817) 734-3973
Fax
(817) 870-1057
NPI assigned
Mar 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X
Health Information Specialist/Technologist 246Y00000X
Darkroom Technician 2472D0500X
Home Health Aide 374U00000X Primary
Home Health Aide 374U00000X NA08676030 TX
Nurse's Aide 376K00000X

Addresses

Primary practice location

1124 Clubhouse Dr
Suite 01
Mansfield, TX 76063-2676

Mailing address

1124 Clubhouse Dr
Suite 01
Mansfield, TX 76063-2676
Phone (817) 734-3973

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
NA08676030TXMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1952609067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 CLUBHOUSE DR",
            "address_2": "SUITE 01",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632676",
            "telephone_number": "817-734-3973",
            "fax_number": "817-870-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 CLUBHOUSE DR",
            "address_2": "SUITE 01",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632676",
            "telephone_number": "817-734-3973",
            "fax_number": "817-870-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARG",
        "first_name": "ROY",
        "middle_name": "A.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472D0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Darkroom",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "NA08676030",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.