| Kelly Barnes, | |
|
11705 Loisdale Way, Rancho Cordova, CA 95742-8028 | |
| (916) 208-0552 | |
| Not Available |
| Full Name | Kelly Barnes |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 23 Years |
| Location | 11705 Loisdale Way, Rancho Cordova, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578185674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 931140 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nourish, Inc. | 1557724937 | 251 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Barnes, 11705 Loisdale Way, Rancho Cordova, CA 95742-8028 Ph: (916) 208-0552 | Kelly Barnes, 11705 Loisdale Way, Rancho Cordova, CA 95742-8028 Ph: (916) 208-0552 |
Edgar Romo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12026 Mircado Way, Rancho Cordova, CA 95742 Phone: 310-367-7569 | |
Michele Lites, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-2730 | |
Mr. Christopher Michael Husing, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10665 Coloma Rd, Suite 400, Rancho Cordova, CA 95670 Phone: 916-638-4735 Fax: 916-638-4686 | |
Melissa Yuen-ting Dupuis, MS, RD, CSR Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3071 Gold Canal Dr, Rancho Cordova, CA 95670 Phone: 916-638-8429 | |
Sarah Marie Olson, MDA, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10831 Arrington Dr, Rancho Cordova, CA 95670 Phone: 760-981-2627 |