NPI 1104079391 · live from the CMS NPI Registry
Patricia Dibenedetto Barba, RD, LDN, MS, CSR
Dietitian, Registered in Honolulu, HI. National Provider Identifier 1104079391, active.
NPI record
| NPI | 1104079391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7536 Olili Pl, Honolulu, HI 96825 |
| Practice phone | 808-394-1456 |
| Enumerated | October 31, 2008 |
| Last updated | October 31, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2533 (MA) |
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | 2533 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.