PALMER GRAU (NPI# 1952726044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952726044 |
| Entity Type | Individual |
| Full Name | PALMER GRAU |
| Credential | RD, CDE |
| Practice Address |
10605 Longfellow Trce Shreveport LA 71106-9363 |
| Practice Telephone | 3184220949 |
| Mailing Telephone | 3184220949 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
935 | LA | Dietary & Nutritional Service Providers |
| Street Address |
10605 LONGFELLOW TRCE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-9363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269743 | Juanita Felton Bridges | Dietitian, Registered | 510 East Stoner Avenue, #120, Overton Brooks Va Medical Center, Shreveport, LA 71101 | 2006-03-15 |
| 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 | 71106 |
Please comment or provide details below to improve the information on PALMER GRAU.
| 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.