1861022840 NPI number — BARBARA LENETTE MCCRAY APRN

Table of content: BARBARA LENETTE MCCRAY APRN (NPI 1861022840)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861022840 NPI number — BARBARA LENETTE MCCRAY APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCRAY
Provider First Name:
BARBARA
Provider Middle Name:
LENETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PORTER
Provider Other First Name:
BARBARA
Provider Other Middle Name:
L
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:
1861022840
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4700 BAYOU BLVD.
Provider Second Line Business Mailing Address:
BLDG. 6
Provider Business Mailing Address City Name:
PENSACOLA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32503-1901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-477-9253
Provider Business Mailing Address Fax Number:
850-494-9843

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SENTARA PULMONARY , CRITICAL CARE & SLEEP SPECIALISTS
Provider Second Line Business Practice Location Address:
816 INDEPENDENCE BLVD STE 2H
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23455-6010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-363-6850
Provider Business Practice Location Address Fax Number:
757-822-6226
Provider Enumeration Date:
01/18/2020

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: 363LF0000X , with the licence number:  0024178702 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: APRN11015728 , 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)