1346324894 NPI number — DR. JANE ANN BARTON PH.D.

Table of content: DR. JANE ANN BARTON PH.D. (NPI 1346324894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346324894 NPI number — DR. JANE ANN BARTON PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTON
Provider First Name:
JANE
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
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:
1346324894
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4420 WHITTLE SPRINGS RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
KNOXVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37917-1513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-688-0661
Provider Business Mailing Address Fax Number:
865-688-5780

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 WESTFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37919-4820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-804-5329
Provider Business Practice Location Address Fax Number:
865-312-6311
Provider Enumeration Date:
10/24/2006

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: 103TH0100X , with the licence number:  2456 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 35859461 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4143334 . This is a "BCBS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 600021219 . This is a "MAGELLAN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 2157857 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2456 . This is a "PSYCHOLOGIST'S LICENSE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 582735 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".




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