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
- Last updated
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifted Nutrition
- Registered Dietitian
- Thibodaux, LA
- NPI 1093697559
Dietitian, Registered
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
- Options for Independence
- Oral-Facial Surgery Center Apc
- Dominic Ordoyne
- Erica Himel Ordoyne, MSN, APRN, FNP-C
- Geri M Orgeron
- Orthopaedic Sports Specialists of Louisiana, LLC (OrthoLA)
- Osteen Chiropractic (Russell B. OSteen CH)
- Arthur Connely Ostheimer, M.D.
- Joshlynn Patricia Meribel Oubre
- Kristie Owens-Mitchell, B.S.
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.