Active NPI
Simply Nourish, LLC
- Registered Dietitian
- Hammond, LA
National Provider Identifier
1043066541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SIMPLY NOURISH, LLC
- Practice address
- 42544 Forest LN
Hammond, LA 70403 - Phone
- (985) 969-2045
- Fax
- (985) 221-8771
- NPI assigned
- Apr 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori C Brown, RDN, LDN
- Title
- Registered Dietitian
- Phone
- (985) 969-2045
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
42544 Forest LN
Hammond, LA 70403
Mailing address
1905 W Thomas St
Suite D-196
Hammond, LA 70401
Phone (985) 969-2045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083967731 | Other | LA | LORI BROWN |
Other names 1
- Simply Nourish, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1905 W Thomas St
Ste D196
Hammond, LA 70401
Phone (985) 969-2045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1043066541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 W THOMAS ST",
"address_2": "SUITE D-196",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70401",
"telephone_number": "985-969-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42544 FOREST LN",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-969-2045",
"fax_number": "985-221-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY NOURISH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "985-969-2045",
"authorized_official_credential": "RDN, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LORI BROWN",
"identifier": "1083967731",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Simply Nourish, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.