Healthcare Provider Details

I. General information

NPI: 1841269230
Provider Name (Legal Business Name): CATHERINE M. BARRETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 GUTHRIE DR
TROY PA
16947-8115
US

IV. Provider business mailing address

1 GUTHRIE SQ
SAYRE PA
18840-1625
US

V. Phone/Fax

Practice location:
  • Phone: 570-297-4104
  • Fax: 570-297-2066
Mailing address:
  • Phone: 570-888-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberTP003220D
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF380660-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberTP003220D
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierGU040074
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMEDICARE GROUP
# 2
Identifier500001534
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRR MEDICARE
# 3
Identifier01721411
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 4
IdentifierCC9269
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRR MEDICARE GROUP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: