MRS. JUANITA FELTON BRIDGES (NPI# 1841269743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841269743 |
| Entity Type | Individual |
| Full Name | MRS. JUANITA FELTON BRIDGES |
| Other Name | MRS. JUANITA FELTON BRIDGES |
| Credential | M.S.,L.D.N.,R.D.,CDE |
| Practice Address |
510 East Stoner Avenue, #120 Overton Brooks Va Medical Center Shreveport LA 71101 |
| Mailing Address |
510 East Stoner Avenue, #120 Veteran Affairs Medical Center Shreveport LA 71101 |
| Practice Telephone | 3189905189 |
| Practice Fax Number | 3189905724 |
| Mailing Telephone | 3189905189 |
| Mailing Fax Number | 3189905724 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CDR NUMBER | 16541 | 01 |
| LA | LICENSE NUMBER | 1095 | 01 |
| Street Address |
510 EAST STONER AVENUE, #120 OVERTON BROOKS VA MEDICAL CENTER |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952726044 | Palmer Grau | Dietitian, Registered | 10605 Longfellow Trce, Shreveport, LA 71106-9363 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922423029 | Valerie Calhoun | Dietitian, Registered | 8332 Tanya Dr, Greenwood, LA 71033-3339 | 2014-02-26 |
| 1053667915 | Dolinda Werling-baye | Dietitian, Registered | 400 Park Ridge Dr, River Ridge, LA 70123-1175 | 2012-07-30 |
| 1821045923 | Nancy Gremillion Kora | Dietitian, Registered | 12432 N Oak Hills Pkwy, Baton Rouge, LA 70810-3237 | 2006-05-27 |
| 1578000816 | Brittni Tullier | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2017-01-25 |
| 1003877341 | Gloria M Gron | Dietitian, Registered | 4213 Saxon St, Suite 200, Metairie, LA 70006-4187 | 2006-03-28 |
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MRS. JUANITA FELTON BRIDGES.
| 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.