1700332707 NPI number — CHRISTA LAUREN BARNES DNP, CRNA, CPT

Table of content: CHRISTA LAUREN BARNES DNP, CRNA, CPT (NPI 1700332707)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700332707 NPI number — CHRISTA LAUREN BARNES DNP, CRNA, CPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARNES
Provider First Name:
CHRISTA
Provider Middle Name:
LAUREN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, CRNA, CPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMRICK
Provider Other First Name:
CHRISTA
Provider Other Middle Name:
LAUREN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700332707
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8950 PRITCHETT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDENDALE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35071-3254
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-999-8222
Provider Business Mailing Address Fax Number:
334-377-4417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3104 BLUE LAKE DR
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
VESTAVIA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35243-2345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-247-8769
Provider Business Practice Location Address Fax Number:
334-377-4417
Provider Enumeration Date:
08/30/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  1-123386 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com