Active NPI
Karen Stover Barnes, CPNP
- Pediatric Nurse Practitioner
- Pinole, CA
National Provider Identifier
1962767111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 21096
- Practice address
- 2160 Appian Way
Suite 100
Pinole, CA 94564-2576 - Phone
- (510) 724-8300
- Fax
- (510) 724-8391
- NPI assigned
- Jul 12, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 21096 | CA | Primary |
Addresses
Primary practice location
2160 Appian Way
Suite 100
Pinole, CA 94564-2576
Mailing address
11875 Dublin Blvd
Suite C 140
Dublin, CA 94568-2843
Phone (925) 587-2500
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21096 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Past | Accepting new patients | |
| Bayside Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Pleasanton, CA
- NPI 1689633240
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1962767111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE C 140",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682843",
"telephone_number": "925-587-2500",
"fax_number": "925-587-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 APPIAN WAY",
"address_2": "SUITE 100",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642576",
"telephone_number": "510-724-8300",
"fax_number": "510-724-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KAREN",
"middle_name": "STOVER",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "21096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.