Teresa F Barr, LLC

Organization Active NPI Gerontology Nurse Practitioner · High Springs, FL

NPI 1992359913 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1992359913
Entity type
Organization (NPI type 2)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
Legal business name
TERESA F BARR, LLC
Practice address
25406 NW 168TH PL
High Springs, FL 32643-1636
Phone
(352) 231-1381
NPI assigned
Jul 29, 2019
Organization subpart
No

Authorized official

Name
Teresa Barr NPI 1740418565
Title
Owner
Phone
(352) 901-6288

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191111000542 FL Part B Supplier - Clinic/Group Practice 1254763410 Receives reassigned benefits from 2 practitioners
Practice locations: High Springs, FL

National Provider Directory

Locations

6873 SW US Highway 27
Fort White, FL 32038
Phone (386) 497-2273

930 County Road 466
Lady Lake, FL 32159
Phone (352) 259-8185

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Gerontology Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363LG0600X Yes

Addresses

Primary practice location

25406 NW 168TH PL
High Springs, FL 32643-1636

Mailing address

25406 NW 168TH PL
High Springs, FL 32643-1636

Other identifiers

IdentifierTypeStateIssuer
P02074987OtherFLRAILROAD MEDICARE

Electronic endpoints

TypeEndpointUseAffiliation
Other URL CollaborateMD Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2019.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1992359913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25406 NW 168TH PL",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25406 NW 168TH PL",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431636",
            "telephone_number": "352-231-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA F BARR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-901-6288"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02074987",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CollaborateMD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25406 NW 168th Pl",
            "city": "High Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326431636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Springs, FL

All providers in High Springs, FL · Gerontology Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.