Brittany Jean Barker
Individual provider Active NPI Registered Dietitian · Sullivan, WI
NPI 1174090260 · NPPES record last updated Oct 27, 2018
Key facts
- NPI
- 1174090260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86002531 (WI)
- Practice address
- 759 Palmyra St
Sullivan, WI 53178-9608 - Phone
- (262) 777-1315
- NPI assigned
- Oct 27, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86002531 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86002531 | WI | Yes |
Addresses
Primary practice location
759 Palmyra St
Sullivan, WI 53178-9608
Mailing address
759 Palmyra St
Sullivan, WI 53178-9608
Phone (262) 777-1315
Other providers in Sullivan, WI
All providers in Sullivan, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2018. 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.