Active NPI
Lillian Rozanski Keppinger, RD
- Registered Dietitian
- Fort Johnson, LA
National Provider Identifier
1033935473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2916
- Practice address
- 1585 3Rd St
Fort Johnson, LA 71459-5102 - Phone
- (318) 451-6947
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2916 | LA | Primary |
Addresses
Primary practice location
1585 3Rd St
Fort Johnson, LA 71459-5102
Mailing address
3022 Marye St
Alexandria, LA 71301-4930
Phone (318) 451-6947
Other names 1
- Lillian Dare Rozanski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2916 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1033935473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 MARYE ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713014930",
"telephone_number": "318-451-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT JOHNSON",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "318-451-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPINGER",
"first_name": "LILLIAN",
"middle_name": "ROZANSKI",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "ROZANSKI",
"middle_name": "DARE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Johnson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.