Basic Information
Provider Information
NPI: 1487741468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRETT
FirstName: CLAUDIA
MiddleName: S
NamePrefix: MISS
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 129 W 29TH ST FL 2
Address2:  
City: NEW YORK
State: NY
PostalCode: 100015192
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 4155200904
Practice Location
Address1: 1001 G ST NW STE 200
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200014545
CountryCode: US
TelephoneNumber: 2026600005
FaxNumber: 2026600025
Other Information
ProviderEnumerationDate: 10/09/2006
LastUpdateDate: 04/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X030445DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700X6532GAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
363AM0700XC03573MDN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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