Individual provider Active NPI

Brittany Janel-Helen Roussel

  • Registered Dietitian
  • Hammond, LA
National Provider Identifier
1104485390
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2333 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Phone
(985) 230-6606
Fax
(985) 230-1617
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2333 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1436

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190710003044 LA Practitioner - Registered Dietitian Or Nutrition Professional 9032444252 Reassigns benefits to 2 organizations
I20200619000671 MS Practitioner - Registered Dietitian Or Nutrition Professional 9032444252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2333LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Apr 30, 2020 Accepting new patients
Ochsner Clinic LLC Dietitian, Registered CurrentSince Mar 16, 2020 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 30, 2020 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 24, 2019 Accepting new patients

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

1514 Jefferson Hwy
New Orleans, LA 70121

1850 Gause Blvd E
Ste 202
Slidell, LA 70461
Phone (985) 639-3718

2750 Gause Blvd E
Slidell, LA 70461

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Organizations & group practices 6

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1104485390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-6606",
            "fax_number": "985-230-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "985-230-6606",
            "fax_number": "985-230-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "BRITTANY",
        "middle_name": "JANEL-HELEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2019; 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.