Active NPI
Viator Nutrition LLC
- Registered Dietitian
- Broussard, LA
National Provider Identifier
1083509509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- VIATOR NUTRITION LLC
- Practice address
- 112 Innisbrook Dr
Broussard, LA 70518-6101 - Phone
- (337) 519-6552
- NPI assigned
- Jun 12, 2025
- Last updated
- Jun 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan A Viator
- Title
- Owner
- Phone
- (337) 321-1893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
112 Innisbrook Dr
Broussard, LA 70518-6101
Mailing address
112 Innisbrook Dr
Broussard, LA 70518-6101
Phone (337) 519-6552
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1083509509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 INNISBROOK DR",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705186101",
"telephone_number": "337-519-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 INNISBROOK DR",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705186101",
"telephone_number": "337-519-6552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIATOR NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "VIATOR",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-321-1893"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.