Provider Demographics
NPI:1558873141
Name:BARRETT, EMMA CHERIE (MS, RDN, LD, CDCES)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CHERIE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS, RDN, LD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S 1ST ST STE O
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-3867
Mailing Address - Country:US
Mailing Address - Phone:936-676-7614
Mailing Address - Fax:
Practice Address - Street 1:515 S 1ST ST STE O
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-3867
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:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83994133V00000X
TX1095181133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered