Provider Demographics
NPI:1033540125
Name:BARBER, JOSHUA DAVID (RN)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DAVID
Last Name:BARBER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:RARDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45671-0102
Mailing Address - Country:US
Mailing Address - Phone:740-372-0828
Mailing Address - Fax:
Practice Address - Street 1:10106 HIGH ST
Practice Address - Street 2:
Practice Address - City:RARDEN
Practice Address - State:OH
Practice Address - Zip Code:45671-8000
Practice Address - Country:US
Practice Address - Phone:740-372-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390079163W00000X
KY1137767163W00000X
171M00000X, 174H00000X, 390200000X
OHRU134937172A00000X
KY390079163WX0200X, 163WG0000X, 163WM0705X, 163WH0200X
OH1137767163WH0200X, 163WX0200X, 163WC1500X, 163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No174H00000XOther Service ProvidersHealth Educator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163WX0200XNursing Service ProvidersRegistered NurseOncology
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development