Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124217005 Deactivated / Inactive NPI Female Practitioner

Willie Mae Barnes

Lodging • Dallas, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Willie Barnes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2007
NPI Deactivation Date September 13, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Willie Barnes was a registered Lodging practicing in Dallas, TX. Throughout an active medical career spanning 11 years, Willie Barnes provided care at the practice location at 1823 DANUBE DR until profile deactivation on 2018-09-13.

Practice Location & Contact Primary Location

Practice Address

1823 Danube Dr

Dallas, TX 752034325

Telephone 2149420930

Specialty Benchmarks & Practice Insights

Comparative analytics for Lodging in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Dallas, TX (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Lodging Primary Specialty

NUCC Taxonomy Code: 177F00000X

State License TX 001153

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2018

Record deactivated on September 13, 2018

NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 17, 2007

Registered at 1823 DANUBE DR, DALLAS, TX 752034325 (Tel: 2149420930)

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Updated Business Mailing Address October 17, 2007

Registered at 1823 DANUBE DR, DALLAS, TX 752034325 (Tel: 2149420930)

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Provider Name / Credentials Updated October 17, 2007

Recorded as WILLIE BARNES

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2007

Lodging (License #001153 in TX)

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Initial NPI Registration & Enumeration October 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124217005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2007
Last Update: October 17, 2007
Deactivation Date: September 13, 2018

Mailing Address

1823 Danube Dr

Dallas, TX 752034325

Phone: 2149420930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.