Provider Demographics
NPI:1063381663
Name:BARRETT, KATHERINE REID (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:REID
Last Name:BARRETT
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:R
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:1211 S EATON ST UNIT 4030
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4398
Mailing Address - Country:US
Mailing Address - Phone:410-897-2104
Mailing Address - Fax:
Practice Address - Street 1:1211 S EATON ST UNIT 4030
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4398
Practice Address - Country:US
Practice Address - Phone:410-897-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX6229133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered