STACEY PARDUE (NPI# 1376096636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376096636 |
| Entity Type | Individual |
| Full Name | STACEY PARDUE |
| Credential | PT |
| Practice Address |
1325 Louisville Ave Monroe LA 71201-6021 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3188071500 |
| Practice Fax Number | 3188071504 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1014 | LA | Dietary & Nutritional Service Providers |
| Street Address |
1325 LOUISVILLE AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477565331 | David A Culp | Registered Nurse | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2006-08-12 |
| 1104474725 | Tiffany P. Frost | Registered Nurse | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2019-08-27 |
| 1548739105 | Taylor West | Speech-Language Pathologist | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2018-11-13 |
| 1003346883 | Cynthia Brantly | Dietitian, Registered | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2017-06-14 |
| 1790147569 | Renee Coleman | Nurse Practitioner | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2016-03-22 |
| 1194181495 | Kelly Spillers | Speech-Language Pathologist | 1325 Louisville Ave, Monroe, LA 71201 | 2016-01-04 |
| 1831576800 | Autumn Benson | Dietitian, Registered | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2015-04-29 |
| 1053722066 | Affinity Health Group, LLC | Social Worker | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2014-05-13 |
| 1285044701 | Stephanie Durham | Speech-Language Pathologist | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2014-05-06 |
| 1265855282 | Sara Leggitt | Speech-Language Pathologist | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2014-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| 1942811559 | Madeline Shane Gebhardt | Dietitian, Registered | 407 Fox Den Trl, Monroe, LA 71203-6016 | 2020-08-17 |
| 1053943225 | Jill Ann Mongene | Dietitian, Registered | 4295 Keisling Ridge Rd, Monroe, TN 38573 | 2020-02-06 |
| 1568026268 | Tracie Via | Dietitian, Registered | 1421 Bluff Creek Trl, Monroe, GA 30656-8640 | 2019-04-28 |
| 1649743519 | Mariel Hope Anderson | Dietitian, Registered | 1100 N 18th St Ste 104, Monroe, LA 71201-5781 | 2019-01-03 |
| 1598253668 | 123 Nutrition, L.L.C. | Dietitian, Registered | 2715 Gusty Ln, Monroe, NC 28110-8001 | 2018-04-24 |
| 1215471099 | Jamie Levy | Dietitian, Registered | 70 Christianna Dr, Monroe, CT 06468-3104 | 2016-12-13 |
| 1699198283 | Dana Helean Pryor | Dietitian, Registered | 2307 Rainbrook Dr, Monroe, NC 28112-8045 | 2014-02-02 |
| 1740521848 | Tracy Kuzava | Dietitian, Registered | 843 Lopez Ln, Monroe, GA 30655-8487 | 2013-03-14 |
| 1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
| Find all providers in MONROE | ||||
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| 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.