Joanna Grace Bark Inge, RDNLD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1648 Issued in AL

Practice address

14 W Jordan St Ste 124
Pensacola, FL 32501-1740

Phone

(850) 485-5535

Fax

(888) 490-2942

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blue Meridian Acupuncture & Wellness

  • Acupuncturist
  • Pensacola, FL
  • NPI 1467071274
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1558093385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST STE 124",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011740",
            "telephone_number": "850-485-5535",
            "fax_number": "888-490-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST STE 124",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011740",
            "telephone_number": "850-485-5535",
            "fax_number": "888-490-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARK INGE",
        "first_name": "JOANNA",
        "middle_name": "GRACE",
        "credential": "RDNLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unifiedpractice",
            "affiliation": "N",
            "address_1": "14 W Jordan St Ste 124",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325011740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Barber, LCSW
• Brooke Barberi
• Rebecca Rene Barchie, LPC
• Emily Elizabeth Bare, MA, BCBA, LBA
• Bruce C. Barillas, P.A.
• Christy H Barkhuizen, DO
• Karla Payne Barkley, PT
• Nadine Smith Barksdale, M.D.
• Nancy Alice Barksdale, RN, MSN, ARNP
• Leslie M. Barnes Remski, M.D.

• Registered Dietitian in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.