Healthcare Provider Details

I. General information

NPI: 1609797323
Provider Name (Legal Business Name): KERI BARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 GAY AVE
SAN JOSE CA
95127-2322
US

IV. Provider business mailing address

6222 CALLE BONITA
SAN JOSE CA
95120-4901
US

V. Phone/Fax

Practice location:
  • Phone: 408-928-6800
  • Fax:
Mailing address:
  • Phone: 408-425-6633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number33634
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: