Provider Demographics
NPI:1801061106
Name:BARNES, SHERYL K
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:K
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAMILL RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1806
Mailing Address - Country:US
Mailing Address - Phone:410-433-2077
Mailing Address - Fax:
Practice Address - Street 1:2 HAMILL RD
Practice Address - Street 2:SUITE 225
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1806
Practice Address - Country:US
Practice Address - Phone:410-433-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2353225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11850OtherJOHNS HOPKINS EMPLOYEE HEALTH PLAN
MD0865690-006OtherCIGNA
MD748305-29OtherCAREFIRST BLUECROSS BLUESHIELD
MD328941901Medicaid
MD7045029OtherAETNA
MDT431 0001OtherBLUECHOICE
MD276733OtherMAMSI
MDT431 0001OtherFEDERAL BLUECROSS BLUESHIELD
MDT431 0001OtherBLUECHOICE