Healthcare Provider Details

I. General information

NPI: 1558226498
Provider Name (Legal Business Name): MEGAN BARRETT MSN, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 VINCENT ST SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE
COLORADO SPRINGS CO
80914
US

IV. Provider business mailing address

559 VINCENT ST SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE
COLORADO SPRINGS CO
80914
US

V. Phone/Fax

Practice location:
  • Phone: 719-556-4717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number283361
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: