Provider Demographics
NPI:1689278699
Name:BARRINGER NUTRITION LLC
Entity Type:Organization
Organization Name:BARRINGER NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN/LD
Authorized Official - Phone:580-504-7019
Mailing Address - Street 1:111 E. 12TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-4449
Mailing Address - Country:US
Mailing Address - Phone:580-504-7019
Mailing Address - Fax:405-351-6488
Practice Address - Street 1:111 E. 12TH. ST.
Practice Address - Street 2:SUITE B
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-504-7019
Practice Address - Fax:405-351-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1598122194Medicaid
OK200975050Medicaid