1871127688 NPI number — MS. SYDNEY KRISTINA BARFIELD APRN, PMHNP-BC

Table of content: MOEIN RASEKH (NPI 1659111698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871127688 NPI number — MS. SYDNEY KRISTINA BARFIELD APRN, PMHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARFIELD
Provider First Name:
SYDNEY
Provider Middle Name:
KRISTINA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, PMHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871127688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 E OAKLAND PARK BLVD STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKLAND PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33334-4400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-561-6222
Provider Business Mailing Address Fax Number:
954-990-7650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5901 SW 74TH ST STE 408
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33143-5164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-735-3555
Provider Business Practice Location Address Fax Number:
954-990-7650
Provider Enumeration Date:
03/02/2020

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: 363LP0808X , with the licence number:  APRN11006174 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 108568300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".