Healthcare Provider Details

I. General information

NPI: 1215524061
Provider Name (Legal Business Name): CAREY JANET BARNES RDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 12/28/2020
Certification Date: 12/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 22ND ST S
ST PETERSBURG FL
33712-2744
US

IV. Provider business mailing address

3001 36TH AVE S
ST PETERSBURG FL
33712-3730
US

V. Phone/Fax

Practice location:
  • Phone: 727-824-8181
  • Fax:
Mailing address:
  • Phone: 727-688-5238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberND2726
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number841857
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: