Red River Medical Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RED RIVER MEDICAL NUTRITION LLC

Practice address

1115 E 7TH Ave
Oakdale, LA 71463-2301

Phone

(318) 485-9238

NPI assigned

Feb 4, 2019

Organization subpart

No

Name

Alexis D Motley, MS, RDN, LDN

Title

Manager

Phone

(318) 485-9238

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2019.

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1013472166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 DOUGLAS MEMORIAL RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465404",
            "telephone_number": "318-485-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 7TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632301",
            "telephone_number": "318-485-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER MEDICAL NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-485-9238",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.