Provider Demographics
NPI:1104709377
Name:BARNES, NIA ASIA (LPN)
Entity type:Individual
Prefix:MRS
First Name:NIA
Middle Name:ASIA
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:NIA
Other - Middle Name:ASIA
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:110 PUMPHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:NY
Mailing Address - Zip Code:13114-3436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 PUMPHOUSE RD
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:NY
Practice Address - Zip Code:13114-3436
Practice Address - Country:US
Practice Address - Phone:315-406-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344816164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse