Active NPI
Roy A. Barg, CNA
- Home Health Aide
- Mansfield, TX
National Provider Identifier
1952609067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NA08676030 | TX | MD | Home 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.