MEDICARE: EMMA CHERIE BARRETT MS, RDN, LD, CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT83994	TX
2	133V00000X	Registered Dietitian	1095181	TX

General Provider Information

NPI Number	:	1558873141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA CHERIE BARRETT MS, RDN, LD, CDCES

Provider Business Mailing Address
First Line	:	515 S 1ST ST STE O
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-3867
Country	:	US
Telephone Number	:	936-676-7614
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 S 1ST ST STE O
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-3867
Country	:	US
Telephone Number	:	936-676-7614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	05/20/2025

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