Colleen Barrickman
Individual provider Active NPI Registered Dietitian · Green, OH
NPI 1083560106 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1083560106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 1283 E Nimisila Rd
Green, OH 44720-1088 - Phone
- (330) 316-2782
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
1283 E Nimisila Rd
Green, OH 44720-1088
Mailing address
1283 E Nimisila Rd
Green, OH 44720-1088
Other providers in Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.