Provider Demographics
NPI:1932182953
Name:BARKER, LYNDA (MSN, RN, ANP, PMHNP)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:MSN, RN, ANP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 W BAY AREA BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2667
Mailing Address - Country:US
Mailing Address - Phone:281-218-8181
Mailing Address - Fax:281-218-7676
Practice Address - Street 1:1560 W BAY AREA BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2667
Practice Address - Country:US
Practice Address - Phone:281-218-8181
Practice Address - Fax:281-218-7676
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257213363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000799901Medicaid
TX000799904Medicaid
TX000799905Medicaid
TX000799905Medicaid
TXNP0286Medicare PIN
TXNP0285Medicare PIN
TXNP0220Medicare PIN