Avery Miller Adams, MS, MPH, RD, LD
Individual provider Active NPI Registered Dietitian · Shreveport, LA
NPI 1174431258 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1174431258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT92653 (TX)
- Practice address
- 510 E Stoner Ave
Shreveport, LA 71101-4243 - Phone
- (318) 221-8411
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT92653 | TX | Yes |
Addresses
Primary practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
4303 Pinson Dr
Texarkana, AR 71854-1646
Phone (337) 831-6717
Other practice location 1
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
Other providers in Shreveport, LA
- Charles David Adair
- Cheryl Wiley Adair
- Jefferey D Adair
- Adam P Cormier DDS Apdc
- Angel Allyson Adams Burrell
- Brenda Adams
- Connie Denise Adams
- Danielle Adams
- David N Adams
- Emily Adams
All providers in Shreveport, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.