Provider Demographics
NPI:1467644492
Name:BARRETT, ANNA REBECCA (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:REBECCA
Last Name:BARRETT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7987231H00000X
VA2101001605237600000X
VA2201001347237600000X
SC4021231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1629WOtherBCBSNC
NC7413285Medicaid
P01044447OtherRAILROAD MEDICARE PTAN
SC30105690OtherSELECT HEALTH OF SC
9512764OtherAENTA
SCSAN097Medicaid
1001554OtherCIGNA
SCSC69065874OtherMEDICARE
NC1629WOtherBCBSNC