Healthcare Provider Details

I. General information

NPI: 1831053677
Provider Name (Legal Business Name): KARALYNN MARIAH BARNETT RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 WYNNEWOOD LN
AVON IN
46123-5303
US

IV. Provider business mailing address

1790 WYNNEWOOD LN
AVON IN
46123-5303
US

V. Phone/Fax

Practice location:
  • Phone: 317-509-7941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86392423
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: