MEDICARE: ROBERT JOHN BARNETT

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	175T00000X	Peer Specialist		AK

General Provider Information

NPI Number	:	1831579051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOHN BARNETT

Provider Business Mailing Address
First Line	:	6543 CIMARRON CIR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-3944
Country	:	US
Telephone Number	:	775-436-8128
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 LAUREL ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5334
Country	:	US
Telephone Number	:	907-654-0355
Fax Number	:

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

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	05/11/2026

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Directions to “ ROBERT JOHN BARNETT ” Practice Location

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