MICHELLE'S BLUE CAROTT GP LLC NPI 1598953911

NPI Information

NPI: 1598953911
Provider Name: MICHELLE'S BLUE CAROTT GP LLC
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Organization

Specialization: Nutrition, Metabolic

Address:
6419 ALLENTOWN DR
SPRING, TX
ZIP 77389
Phone: (281) 682-5967
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MICHELLE'S BLUE CAROTT GP LLC is a nutrition and metabolic dietitian registered in Spring, TX. MICHELLE'S BLUE CAROTT GP LLC NPI is 1598953911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6419 ALLENTOWN DR
SPRING, TX
ZIP 77389-669
Phone: (281) 682-5967

The provider's authorized official is Michelle Patrice Rivera .
The authorized official title is Owner and has the following contact phone number (281) 682-5967.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	DT06278	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	610476	OTHER	TEXAS	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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