Healthcare Provider Details

I. General information

NPI: 1184502288
Provider Name (Legal Business Name): JULIE BARRETT RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8991 US HIGHWAY 278 E
HOKES BLUFF AL
35903-6919
US

IV. Provider business mailing address

8991 US HIGHWAY 278 E
HOKES BLUFF AL
35903-6919
US

V. Phone/Fax

Practice location:
  • Phone: 256-453-3736
  • Fax:
Mailing address:
  • Phone: 256-453-3736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number5847
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: