Provider Demographics
NPI:1558873141
Name:BARRETT, EMMA CHERIE (MS, RDN, LD, CDE)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:CHERIE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS, RDN, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11041 SHADOW CREEK PKWY STE 121-86
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7402
Mailing Address - Country:US
Mailing Address - Phone:936-676-7614
Mailing Address - Fax:
Practice Address - Street 1:11041 SHADOW CREEK PKWY STE 121-86
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7402
Practice Address - Country:US
Practice Address - Phone:936-676-7614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095181133V00000X
TXDT83994133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered