Active NPI
Ryan Orgeron, RD, LDN, CPT
- Registered Dietitian
- Houma, LA
National Provider Identifier
1093201105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2895
- Practice address
- 521 Legion Ave
Houma, LA 70364-3339 - Phone
- (985) 413-2867
- NPI assigned
- Jul 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2895 | LA | |
| Nutrition Education Nutritionist | 133NN1002X | 2895 | LA | |
| Registered Dietitian | 133V00000X | 2895 | LA | Primary |
Addresses
Primary practice location
521 Legion Ave
Houma, LA 70364-3339
Mailing address
521 Legion Ave
Houma, LA 70364-3339
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2895 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifted Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1410 Tiger Dr
Thibodaux, LA 70301
Phone (985) 227-9445
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1093201105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LEGION AVE",
"city": "HOUMA",
"state": "LA",
"postal_code": "703643339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LEGION AVE",
"city": "HOUMA",
"state": "LA",
"postal_code": "703643339",
"telephone_number": "985-413-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORGERON",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "RD, LDN, CPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-02",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "LA",
"license": "2895",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "LA",
"license": "2895",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.