Provider Demographics
NPI:1649819707
Name:BARNES, CHERIE NICHOL (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:NICHOL
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 GOLDEN HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-3148
Mailing Address - Country:US
Mailing Address - Phone:919-389-1504
Mailing Address - Fax:
Practice Address - Street 1:3508 GOLDEN HEATHER DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-3148
Practice Address - Country:US
Practice Address - Phone:919-389-1504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005979133VN1201X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management