NPIMap

Organization Active NPI

Southern Nutrition and Wellness, LLC

  • Registered Dietitian
  • Thibodaux, LA
National Provider Identifier
1184175358
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1556 Issued in LA
Legal business name
SOUTHERN NUTRITION AND WELLNESS, LLC
Practice address
233 Live Oak Dr
Thibodaux, LA 70301-8809
Phone
(985) 804-5859
Fax
(985) 633-5142
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Brigett Scott, PHD RDN LDN
Title
Owner
Phone
(985) 804-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1556 LA Primary

Addresses

Primary practice location

233 Live Oak Dr
Thibodaux, LA 70301-8809

Mailing address

233 Live Oak Dr
Thibodaux, LA 70301-8809
Phone (985) 804-5859

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1184175358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LIVE OAK DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018809",
            "telephone_number": "985-804-5859",
            "fax_number": "985-633-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LIVE OAK DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018809",
            "telephone_number": "985-804-5859",
            "fax_number": "985-633-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NUTRITION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRIGETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-804-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD RDN LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 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.

Verify at the official NPI Registry.