Stephanie Lynn Barnes, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Taos, NM

NPI 1548033202 · NPPES record last updated Nov 3, 2023

Key facts

NPI
1548033202
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD2023114 (NM)
Practice address
222 Paseo del Pueblo Norte
Taos, NM 87571-5902
Phone
(575) 425-9198
NPI assigned
Nov 3, 2023
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD2023114NMMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD2023114 NM Yes

Addresses

Primary practice location

222 Paseo del Pueblo Norte
Taos, NM 87571-5902

Mailing address

222 Paseo del Pueblo Norte
Taos, NM 87571-5902
Phone (575) 425-9198

Other providers in Taos, NM

All providers in Taos, NM · Registered Dietitian in New Mexico

Sources for this page

Verify at the official NPI Registry.