Active NPI
Barbara Grigsby, LDN, RD
- Registered Dietitian
- Lake Charles, LA
National Provider Identifier
1164964458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1020
- Practice address
- 2000 Opelousas St
Lake Charles, LA 70601-2641 - Phone
- (337) 439-9983
- Fax
- (337) 310-1161
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1020 | LA | |
| Registered Dietitian | 133V00000X | 1020 | LA | Primary |
Addresses
Primary practice location
2000 Opelousas St
Lake Charles, LA 70601-2641
Mailing address
2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020 | Other | LA | LICENSED DIETITIAN/NUTRIRTIONIST |
| 455233 | Other | LA | COMMISSION ON DIETETIC REGISTRATION CREDENTIAL VERIFICATION CERTIFICATE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1164964458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 OPELOUSAS ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706012641",
"telephone_number": "337-439-9983",
"fax_number": "337-310-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OPELOUSAS ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706012641",
"telephone_number": "337-439-9983",
"fax_number": "337-310-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGSBY",
"first_name": "BARBARA",
"credential": "LDN, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "LA",
"license": "1020",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN/NUTRIRTIONIST",
"identifier": "1020",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION CREDENTIAL VERIFICATION CERTIFICATE",
"identifier": "455233",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.