Provider Demographics
NPI:1184717670
Name:TUNNELL, BARBARA CHRISTINE (RD, CD)
Entity type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:CHRISTINE
Last Name:TUNNELL
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:CHRISTINE
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CD
Mailing Address - Street 1:2800 S PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5131
Mailing Address - Country:US
Mailing Address - Phone:765-273-7246
Mailing Address - Fax:
Practice Address - Street 1:2401 W. UNIVERSITY AVE.
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303
Practice Address - Country:US
Practice Address - Phone:765-747-3273
Practice Address - Fax:765-741-2994
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37001687A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN350867958Medicare Oscar/Certification