Healthcare Provider Details

I. General information

NPI: 1487741468
Provider Name (Legal Business Name): CLAUDIA S BARRETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 12/10/2022
Certification Date: 12/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 G ST NW STE 200
WASHINGTON DC
20001-4545
US

IV. Provider business mailing address

2818 LEWIS AVE
SUITLAND MD
20746-1803
US

V. Phone/Fax

Practice location:
  • Phone: 202-660-0005
  • Fax: 202-660-0025
Mailing address:
  • Phone: 917-747-8307
  • Fax: 865-409-5648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number030445
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number6532
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC03573
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110006858
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: