Provider Demographics
NPI:1982182432
Name:RIKER NUTRITION CONSULTING, LLC
Entity Type:Organization
Organization Name:RIKER NUTRITION CONSULTING, LLC
Other - Org Name:RIKER NUTRITION CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CARI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIKER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:615-241-6332
Mailing Address - Street 1:2916 BURTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-8243
Mailing Address - Country:US
Mailing Address - Phone:615-241-6332
Mailing Address - Fax:
Practice Address - Street 1:4205 HILLSBORO PIKE STE 314
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3339
Practice Address - Country:US
Practice Address - Phone:615-241-6332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2073133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty