Provider Demographics
NPI:1831588466
Name:BARNES, GENEVIEVE (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MISS
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:AYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10314 MATTERHORN DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1807
Mailing Address - Country:US
Mailing Address - Phone:832-326-8069
Mailing Address - Fax:
Practice Address - Street 1:10314 MATTERHORN DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-1807
Practice Address - Country:US
Practice Address - Phone:832-326-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82074133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered