Individual provider Active NPI

Katherine Noel Barricklow, RN FNP

  • Family Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1992991509
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP09597 Issued in OH
Practice address
1840 E Gypsy Lane Rd
Bowling Green, OH 43402-9173
Phone
(419) 352-8402
Fax
(419) 353-1464
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP09597 OH Primary

Addresses

Primary practice location

1840 E Gypsy Lane Rd
Bowling Green, OH 43402-9173

Mailing address

1840 E Gypsy Lane Rd
Bowling Green, OH 43402-9173
Phone (419) 352-8402

Other identifiers 1

IdentifierTypeStateIssuer
2836346MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170817004267 OH Order and Referring Only - Nurse Practitioner 6406936111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.barricklow.p1@direct.wcchwc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1992991509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E GYPSY LANE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029173",
            "telephone_number": "419-352-8402",
            "fax_number": "419-353-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E GYPSY LANE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029173",
            "telephone_number": "419-352-8402",
            "fax_number": "419-353-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRICKLOW",
        "first_name": "KATHERINE",
        "middle_name": "NOEL",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP09597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2836346",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.