Provider Demographics
NPI:1720787807
Name:NORIEGA, KRISTEN (MS, RDN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:NORIEGA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 90TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6866
Mailing Address - Country:US
Mailing Address - Phone:505-366-9043
Mailing Address - Fax:
Practice Address - Street 1:6404 90TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-6866
Practice Address - Country:US
Practice Address - Phone:505-366-9043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered