Provider Demographics
NPI:1154939452
Name:CORNERSTONE NUTRITION & DIABETES, PLLC
Entity type:Organization
Organization Name:CORNERSTONE NUTRITION & DIABETES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:405-701-9909
Mailing Address - Street 1:2500 BOARDWALK STE 220
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6593
Mailing Address - Country:US
Mailing Address - Phone:405-701-9909
Mailing Address - Fax:
Practice Address - Street 1:2500 BOARDWALK STE 220
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6593
Practice Address - Country:US
Practice Address - Phone:405-701-9909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty