Provider Demographics
NPI:1336465723
Name:CARTER NUTRITION CONSULTING, LLC
Entity Type:Organization
Organization Name:CARTER NUTRITION CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CLT, LD
Authorized Official - Phone:214-986-4444
Mailing Address - Street 1:1332 E 43RD CT
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4124
Mailing Address - Country:US
Mailing Address - Phone:214-986-4444
Mailing Address - Fax:214-723-5321
Practice Address - Street 1:1332 E 43RD CT
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-4124
Practice Address - Country:US
Practice Address - Phone:214-986-4444
Practice Address - Fax:214-723-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-11
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1745133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty