Organization Active NPI

Simply Nourish, LLC

  • Registered Dietitian
  • Hammond, LA
National Provider Identifier
1043066541
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori C Brown, RDN, LDNNPI 1083967731
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1083967731OtherLALORI BROWN

Other names 1

  • Simply Nourish, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816000736 LA Part B Supplier - Clinic/Group Practice 9830637230 Receives reassigned benefits from 1 practitioner
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.