Provider Demographics
NPI:1811103724
Name:COX, BARBARA (RD)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 AIRMOTIVE WAY
Mailing Address - Street 2:SUITE 175
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3201
Mailing Address - Country:US
Mailing Address - Phone:775-329-0505
Mailing Address - Fax:775-329-0566
Practice Address - Street 1:1325 AIRMOTIVE WAY
Practice Address - Street 2:SUITE 175
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3201
Practice Address - Country:US
Practice Address - Phone:775-329-0505
Practice Address - Fax:775-329-0566
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV698276133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV698276OtherR.D. CERTFICATION
NV698276OtherR.D. CERTFICATION