Healthcare Provider Details

I. General information

NPI: 1871342006
Provider Name (Legal Business Name): CAKE NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10202 PERKINS ROWE STE E-160
BATON ROUGE LA
70810-2067
US

IV. Provider business mailing address

10125 HIGH PINES DR
BATON ROUGE LA
70809-5918
US

V. Phone/Fax

Practice location:
  • Phone: 573-463-6879
  • Fax: 318-206-4077
Mailing address:
  • Phone: 440-532-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB T MEY
Title or Position: OWNER
Credential: PHD, RD
Phone: 440-532-9712