MS. MARTI BORDENLON VANDAGRIFF (NPI# 1417574294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417574294 |
Entity Type | Individual |
Full Name | MS. MARTI BORDENLON VANDAGRIFF |
Credential | RDN LDN CDCES |
Practice Address |
707 S Vienna St Ruston LA 71270 |
Mailing Address |
626 Whitefield Lane Bossier City LA 71112 |
Practice Telephone | 3182243044 |
Mailing Telephone | 3187800530 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1254 | LA | Dietary & Nutritional Service Providers |
Street Address |
707 S VIENNA ST |
City | RUSTON |
State | LA |
Zip Code | 71270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548418189 | Meghan Tooke Kavanaugh | Nutritionist | 707 S Vienna St, Ruston, LA 71270-5845 | 2008-09-08 |
1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
1407262249 | Nicola Piazza Kent | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2014-07-01 |
1093157927 | Jessica Stewart | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2013-07-19 |
1407100183 | Hill Medical Services, LLC | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-11-02 |
1407108038 | Ruston Xray Services LLC | Radiology | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-10-05 |
1760733232 | St Francis Medical Group LLC | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2012-09-25 |
1235413329 | Ashlea Jones Hill | Nurse Practitioner | 707 S Vienna St, Ruston, LA 71270-5845 | 2011-10-06 |
1457639700 | James S Finley Md A Professional Medical Corporation | Specialist | 707 S Vienna St, Ruston, LA 71270-5845 | 2011-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
Find all providers in zip 71270 |
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 |
---|---|---|---|---|
1932715802 | Rachel Boogaerts Hanes | Dietitian, Registered | 1910 Knowles Dr, Ruston, LA 71270-2615 | 2020-09-16 |
1083198725 | Angeline Pettit Baker | Dietitian, Registered | 2560 Cook Rd, Ruston, LA 71270-3231 | 2018-09-19 |
1821506254 | Atsie Nicole Barmore | Dietitian, Registered | 748 Pipes Rd, Ruston, LA 71270-3388 | 2018-01-19 |
1174964977 | Sylvia A Roseberry | Dietitian, Registered | 383 Timber Ridge Dr, Ruston, LA 71270-3686 | 2013-07-10 |
1689837551 | Valerie Costanza | Dietitian, Registered | 730 Spring Creek Rd, Ruston, LA 71270 | 2008-07-09 |
1316125867 | Amy Gilbert Hogan | Dietitian, Registered | 2412 Creekwood Dr, Ruston, LA 71270-7133 | 2008-02-07 |
1831178755 | Green Clinic LLC | Dietitian, Registered | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-10 |
1265899256 | Jessica Murphy Hood | Dietitian, Registered | 823 W California Ave, Ruston, LA 71270-4911 | 2016-01-21 |
1124461082 | The Diabetes Care Center | Dietitian, Registered | 823 W California Ave, Ruston, LA 71270-4911 | 2013-04-10 |
1538408422 | Sarah Elizabeth Knowles | Dietitian, Registered | 823 W California Ave, Ruston, LA 71270-4911 | 2013-02-12 |
Find all providers in RUSTON |
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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.