Individual provider Active NPI

Gayduo Sonnie Barr

  • Registered Nurse
  • Windsor Mill, MD
National Provider Identifier
1992410278
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R223279 Issued in MD
Practice address
7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534
Phone
(770) 912-2021
NPI assigned
Jan 20, 2023
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R223279 MD
Registered Nurse 163W00000X R223279 MD Primary

Addresses

Primary practice location

7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534

Mailing address

7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534
Phone (770) 912-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802003370 MD Practitioner - Nurse Practitioner 2668819350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R223279MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Mind CurrentSince Jan 1, 2024 Accepting new patients
Touching Minds Healthcare Services Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

525 Eastern Ave
Ste B3
Fairmount Heights, MD 20743
Phone (301) 925-2255

7004 Security Blvd
Ste 300
Windsor Mill, MD 21244
Phone (410) 936-3768

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1992410278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534",
            "telephone_number": "770-912-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534",
            "telephone_number": "770-912-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "GAYDUO",
        "middle_name": "SONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R223279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.