Provider Demographics
NPI:1285697417
Name:BARTH, CHRISTINA V (RD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:V
Last Name:BARTH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8912 E PINNACLE PEAK RD
Mailing Address - Street 2:SUITE F9-524
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3659
Mailing Address - Country:US
Mailing Address - Phone:480-332-8127
Mailing Address - Fax:
Practice Address - Street 1:8912 E PINNACLE PEAK RD
Practice Address - Street 2:SUITE F9-524
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3659
Practice Address - Country:US
Practice Address - Phone:480-332-8127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
926524133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00362102OtherRAILROAD MEDICARE
AZ084354Medicaid
AZP00362102OtherRAILROAD MEDICARE
Q69024Medicare UPIN