MRS. NIKOLE SUZANNE BARRETT


Address: 229 E Omer Ave, Mishawaka, IN 46545-6345
Phone: 5742178372

MRS. NIKOLE SUZANNE BARRETT (NPI# 1114129046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114129046
Entity Type Individual
Full Name MRS. NIKOLE SUZANNE BARRETT
Credential R.D.N., C.D.
Practice Address 229 E Omer Ave
Mishawaka
IN 46545-6345
Practice Telephone 5742178372
Mailing Telephone 5742178372
Enumeration Date 2007-06-04
Last Update Date 2014-07-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 37001744A IN Dietary & Nutritional Service Providers
N 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
37001744A IN Dietary & Nutritional Service Providers

Office Location

Street Address 229 E OMER AVE
City MISHAWAKA
State IN
Zip Code 46545-6345

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NPI Name Taxonomy Address Enumeration
1629486964 Live Well Nutrition, Inc. Dietitian, Registered 229 E Omer Ave, Mishawaka, IN 46545-6345 2014-07-30

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

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NPI Name Taxonomy Address Enumeration
1952738460 Ashlinn Kipp Dietitian, Registered 5509 Ottawa Ct Apt 2a, Mishawaka, IN 46545-8471 2013-09-28
1497095343 April Lynn Root Dietitian, Registered St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 2013-02-28
1306961602 Tracy Jeannine Pfaffenberger Dietitian, Registered 129 S Home St, Mishawaka, IN 46544-3134 2007-03-19
1972149862 Bailey Personette Dietitian, Registered 1540 Trinity Pl, Mishawaka, IN 46545-5006 2019-11-26
1093219008 Mayelin Lora-williams Dietitian, Registered 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 2018-03-23
1336467612 Stephanie Terese Malley Dietitian, Registered 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 2010-05-11
1760560114 Christina Kaye Senff Dietitian, Registered 215 W 4th St, Mishawaka, IN 46544-1917 2006-11-02

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1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
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Competitor

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City MISHAWAKA
Zip Code 46545

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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