# MICHELLE'S BLUE CAROTT GP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598953911
- **Authorized official:** MRS. MICHELLE PATRICE RIVERA MS RD CDE LD (OWNER)
- **Authorized official phone:** (281) 682-5967

## Contact information

- **Practice address:** 6419 ALLENTOWN DR, SPRING, TX 77389-3669
- **Practice address phone:** (281) 682-5967
- **Mailing address:** 6419 ALLENTOWN DR, SPRING, TX 77389-3669
- **Mailing address phone:** (281) 682-5967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | DT06278 | TX | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/10/2007