Active NPI
Lifted Nutrition LLC
- Registered Dietitian
- Thibodaux, LA
National Provider Identifier
1093697559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIFTED NUTRITION LLC
- Practice address
- 1410 Tiger Dr
Thibodaux, LA 70301-4337 - Phone
- (985) 227-9445
- NPI assigned
- Jul 24, 2025
- 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
- Mr. Ryan Orgeron, RD, LDN, CPT
- Title
- Owner
- Phone
- (985) 227-9445
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
1410 Tiger Dr
Thibodaux, LA 70301-4337
Mailing address
1410 Tiger Dr
Thibodaux, LA 70301-4337
Phone (985) 227-9445
Other names 1
- Lifted Nutrition
National Provider Directory
National Provider DirectoryLocations
1410 Tiger Dr
Thibodaux, LA 70301
Phone (985) 227-9445
Practitioners & affiliated clinicians
Practitioners 3
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": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1093697559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014337",
"telephone_number": "985-227-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014337",
"telephone_number": "985-227-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFTED NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "ORGERON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-227-9445",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RD, LDN, CPT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifted Nutrition",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.