KYLE BLANTON


Address: 707a E. Prien Lake Rd., Lake Charles, LA 70601
Phone: 3374786020

KYLE BLANTON (NPI# 1215300835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215300835
Entity Type Individual
Full Name KYLE BLANTON
Credential RD, LDN, LD
Practice Address 707a E. Prien Lake Rd.
Lake Charles
LA 70601
Mailing Address 707 A E. Prien Lake Rd.
Lake Charles
LA 70601
Practice Telephone 3374786020
Enumeration Date 2015-11-04
Last Update Date 2015-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered DT83099 TX Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered 2638 LA Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 1096369 Dietary & Nutritional Service Providers

Office Location

Street Address 707A E. PRIEN LAKE RD.
City LAKE CHARLES
State LA
Zip Code 70601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
Find all providers in zip 70601

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770081721 Vanessa Hardy Dietitian, Registered 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5362 2018-01-24
1659725802 Shatonia Mccarty Dietitian, Registered 6675 Highway 90 E Trlr 218, Lake Charles, LA 70615-4769 2016-04-13
1548646599 Eljeana Quebedeaux Dietitian, Registered 902 S Kade, Lake Charles, LA 70605-7189 2015-07-31
1942508981 Jacqueline Brown Richard Dietitian, Registered 524 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5725 2011-02-28
1053374595 Samantha A Rider Dietitian, Registered 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2006-04-07
1952363459 Stephanie J Stanfield Dietitian, Registered 721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 2006-04-03
1154982460 Nicholas Nutrition & Optimal Wellness Now Dietitian, Registered 4007 W Walton St, Lake Charles, LA 70607-3656 2019-06-26
1043787302 Courtney E Foch Labove Dietitian, Registered 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5392 2018-10-25
1043621089 Hailey Crawford Dietitian, Registered 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-05-13
1598176653 Olivia Paige Blalock Dietitian, Registered 1727 Imperial Blvd, Building 2, Lake Charles, LA 70605-5362 2014-05-12
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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