Provider Demographics
NPI:1528668159
Name:BARBER, NAKESHA VICTORIA
Entity type:Individual
Prefix:MRS
First Name:NAKESHA
Middle Name:VICTORIA
Last Name:BARBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAKESHA
Other - Middle Name:VICTORIA
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NAKESHA ROSS
Mailing Address - Street 1:113 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8314
Mailing Address - Country:US
Mailing Address - Phone:267-815-4132
Mailing Address - Fax:
Practice Address - Street 1:113 PLYMOUTH PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8314
Practice Address - Country:US
Practice Address - Phone:267-815-4132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE172A00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1528668159OtherMODIVCARE
DE1528668159Medicaid