Provider Demographics
NPI:1558972505
Name:BARNES, CASSANDRA LINDSAY (RDN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LINDSAY
Last Name:BARNES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 CABOT LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2517
Mailing Address - Country:US
Mailing Address - Phone:630-246-0848
Mailing Address - Fax:
Practice Address - Street 1:1316 CABOT LN
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2517
Practice Address - Country:US
Practice Address - Phone:630-246-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered