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
- Title
- Owner
- Phone
- (352) 901-6288
Practitioners 2
-
Teresa Freeland Barr, ARNP
-
Jo-Anne Gammon, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Gerontology Nurse Practitioner |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02074987 | Other | FL | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CollaborateMD | Direct |
NPI Registry JSON
{
"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
- Jordan Sparkman
- Stankus Family Care
- Stankus Family Care
- Joseph Stankus
- Stephanie Leanne Swilley
- Kierstyn Tietgens
- Trenton Medical Center, Inc.
- Trenton Medical Center, Inc.
- Colleen Trojbom
- Janina Elisbeth Vanover
All providers in High Springs, FL · Gerontology Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.