Melissa Acosta

Individual provider Active NPI Registered Dietitian · Zachary, LA

NPI 1093435976 · NPPES record last updated Aug 31, 2022

Key facts

NPI
1093435976
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
6300 Main St
Zachary, LA 70791-4037
Phone
(225) 658-4347
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Regional Medical Center Dietitian, Registered Current Accepting new patients

Locations

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

6300 Main St
Zachary, LA 70791-4037

Mailing address

6300 Main St
Zachary, LA 70791-4037

Other providers in Zachary, LA

All providers in Zachary, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.