Active NPI
Danvanilla Q Barnes, MD
- Rehabilitation Psychologist
- Clewiston, FL
National Provider Identifier
1972202141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 400 S Berner Rd # 33440
Clewiston, FL 33440-3408 - Phone
- (863) 677-5150
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Pediatric Optometrist | 152WP0200X | 2036638 | FL | |
| Driver | 172A00000X | |||
| Legal Medicine | 173000000X | |||
| Meals Provider | 174200000X | |||
| Midwife | 176B00000X | |||
| Funeral Director | 176P00000X | 573289 | FL | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 573289 | FL | |
| Rehabilitation Psychologist | 103TR0400X | Primary | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 573289 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 573289 | FL | |
| Complex Family Planning Physician | 207VC0300X | 2036638 | FL |
Addresses
Primary practice location
400 S Berner Rd # 33440
Clewiston, FL 33440-3408
Mailing address
PO Box 3117
33440
Clewiston, FL 33440
Phone (863) 677-5150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUECROSS | Other | BLUE CROSS | |
| HMO | Other | FL | HMO |
| MEDICARE | Other | FL | MEDICARE |
Other names 1
- Dr. Danvanilla Q Barnes
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2036638 | FL | MD | Pediatric Optometrist |
| 573289 | FL | MD | Funeral Director |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1972202141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3117",
"address_2": "33440",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "33440",
"telephone_number": "863-677-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S BERNER RD # 33440",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403408",
"telephone_number": "863-677-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "DANVANILLA",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "FL",
"license": "2036638",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "FL",
"license": "573289",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "FL",
"license": "573289",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "573289",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "573289",
"primary": false
},
{
"code": "207VC0300X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Complex Family Planning",
"state": "FL",
"license": "2036638",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "BLUECROSS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "HMO",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MEDICARE",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANVANILLA",
"last_name": "BARNES",
"middle_name": "Q",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.