Mataya Barrett
Individual provider Active NPI Community Health Worker · Ely, MN
NPI 1972131381 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1972131381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 300 W Conan St
Ely, MN 55731-1145 - Phone
- (218) 365-7943
- Fax
- (218) 365-7975
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MN | Yes |
Addresses
Primary practice location
300 W Conan St
Ely, MN 55731-1145
Mailing address
300 W Conan St
Ely, MN 55731-1145
Phone (218) 365-7943
Other providers in Ely, MN
- Alliance Family Counseling LLC
- Scott Robert Anderson
- Joseph Anthony Bianco
- Sonya Bland
- Boundary Waters Care Center
- Erin Troy Bremner
- James Fitzgerald Carroll
All providers in Ely, MN · Community Health Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.