NPI 1639908528 · live from the CMS NPI Registry
Goldie Barnes, RD
Dietitian, Registered in Fairfax, MO. National Provider Identifier 1639908528, active.
NPI record
| NPI | 1639908528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 29286 State Highway Ee, Fairfax, MO 64446 |
| Practice phone | 660-253-0692 |
| Mailing address | 918 W 3rd St, Maryville, MO 64468 |
| Enumerated | July 29, 2024 |
| Last updated | November 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner | 202C00000X | 2022020584 (MO) |
| Dietitian, Registered primary | 133V00000X | 2022020584 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.