Ivorine Barnes, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003027 Issued in GA

Practice address

2412 Wilshire Way
Douglasville, GA 30135

Phone

(678) 401-4771

Fax

(678) 401-4771

NPI assigned

Feb 2, 2011

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1184920522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILSHIRE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358129",
            "telephone_number": "678-401-4771",
            "fax_number": "678-401-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILSHIRE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-401-4771",
            "fax_number": "678-401-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "IVORINE",
        "name_prefix": "Ms.",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahagony Banks, CIT
• Stephanie Banks, RBT
• Bhumika Banugaria
• Andrew Paul Barak, DO
• Keturah Barnard
• Walida S Barr, LPN
• Patricia Annette Barrett, FNP-BC
• Natasha Barrow
• Dingane Baruti, M.D
• Deanna Bassette, APRN, FNP

• Registered Dietitian in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.