Provider Demographics
NPI:1427949650
Name:BARISIC, MARINA (RD, RDN)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:BARISIC
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 DUNMORE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3212
Mailing Address - Country:US
Mailing Address - Phone:615-424-7641
Mailing Address - Fax:
Practice Address - Street 1:2924 DUNMORE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3212
Practice Address - Country:US
Practice Address - Phone:615-424-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5332133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered