MEDICARE: ELISSA MARIE BARFOOT CNM, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	711	NM
2	367A00000X	Advanced Practice Midwife	APRN9340919	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	477563YRND	OTHER	NM	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164780441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISSA MARIE BARFOOT CNM, FNP

Provider Business Mailing Address
First Line	:	8340 LAKEWOOD RANCH BLVD STE 240
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5185
Country	:	US
Telephone Number	:	941-907-3008
Fax Number	:

Provider Business Practice Location Address
First Line	:	4672 N SONOMA RANCH BLVD STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7271
Country	:	US
Telephone Number	:	575-556-1879
Fax Number	:	575-556-1880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	10/20/2025

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