Christina M Barth, RD, LD

Individual provider Active NPI Registered Dietitian · Independence, OH

NPI 1104176239 · NPPES record last updated May 11, 2022

Key facts

NPI
1104176239
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD7063 (OH)
Practice address
6378 Pebblecreek Dr
Independence, OH 44131-3220
Phone
(216) 548-7781
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LD7063OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Scalese Wellness LLV Dietitian, Registered Current
since May 16, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD7063 OH Yes

Addresses

Primary practice location

6378 Pebblecreek Dr
Independence, OH 44131-3220

Mailing address

6378 Pebblecreek Dr # 200
Independence, OH 44131-3220
Phone (216) 548-7781

Other providers in Independence, OH

All providers in Independence, OH · Registered Dietitian in Ohio

Sources for this page

Verify at the official NPI Registry.