WEST JEFFERSON PHYSICIAN SERVICES (NPI# 1780015784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780015784 |
Entity Type | Organization |
Organization Name | WEST JEFFERSON PHYSICIAN SERVICES |
Other Organization Name | WEST JEFFERSON DIABETES PREVENTION PROGRAM |
Practice Address |
1121 Medical Center Blvd. West Jefferson Fitness Center Marrero LA 70072 |
Mailing Address |
1101 Medical Center Blvd. Attn: Heidi Gwinn Marrero LA 70072 |
Practice Telephone | 5043480055 |
Practice Fax Number | 5043474267 |
Mailing Telephone | 5043491297 |
Mailing Fax Number | 5043491146 |
Enumeration Date | 2013-12-02 |
Last Update Date | 2013-12-02 |
Authorized Official Name | MRS. ANGELA GREENER (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Telephone | 5043496021 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1942545 | 05 |
Other Name | Type Code |
---|---|
West Jefferson Diabetes Prevention Program | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
1669549283 | West Jefferson Physician Services | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2006-11-29 |
1790850774 | West Jefferson Physician Services | Family Medicine | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2006-11-22 |
1053486043 | West Jefferson Physician Services | Internal Medicine | 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072-3151 | 2006-11-22 |
1114092194 | West Jefferson Physician Services | Internal Medicine | 2845 Manhattan Blvd, Harvey, LA 70058-2987 | 2006-11-22 |
1457426439 | West Jefferson Physician Services | Family Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2006-11-22 |
Street Address |
1121 MEDICAL CENTER BLVD. WEST JEFFERSON FITNESS CENTER |
City | MARRERO |
State | LA |
Zip Code | 70072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
Find all providers in zip 70072 |
Taxonomy Code | 133N00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962670414 | Dasia Julisa Canales | Nutritionist | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2008-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003423625 | Kenrese Theresa Carter | Nutritionist | 146 Bell Richard Ave, Fort Polk, LA 71459-3513 | 2020-09-28 |
1730650755 | Jessica Michelle Stark | Nutritionist | 118 Temecula Dr, West Monroe, LA 71292-0476 | 2018-12-17 |
1790299782 | Jessica Florence Blanchard | Nutritionist | 120 S Cortez St, New Orleans, LA 70119-6119 | 2017-11-29 |
1518476811 | Intuit Nutrition & Wellness | Nutritionist | 3515 Dumaine St Apt 7, New Orleans, LA 70119-3844 | 2017-09-29 |
1508388174 | Chanel Marie Chagnard | Nutritionist | 9531 Jefferson Hwy, New Orleans, LA 70123-2507 | 2017-07-14 |
1477965028 | Caitlyn L Keating | Nutritionist | 8490 Picardy Avenue, Ste 600-d, Baton Rouge, LA 70809 | 2014-05-29 |
1235572900 | Barbara Cerniauskas | Nutritionist | 628 N 4th St # 4, Baton Rouge, LA 70802-5342 | 2013-04-12 |
1184967333 | Heidi Hensgens | Nutritionist | 127 Myrtle Dr, A, Crowley, LA 70526-0973 | 2013-04-05 |
1255638698 | Sandra Booker | Nutritionist | 7300 Beauvoir Ct, New Orleans, LA 70128-2510 | 2011-02-22 |
1134423593 | Balanced Health and Nutrition, LLC | Nutritionist | 5513 Trenton Ave, Baton Rouge, LA 70808-3342 | 2010-12-28 |
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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.