Tracy Miller Brazan
Individual provider Active NPI Registered Dietitian · Hammond, LA
NPI 1194247189 · NPPES record last updated Mar 15, 2026
Key facts
- NPI
- 1194247189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1100931 (LA)
- Practice address
- 15837 Paul Vega Dr Ste 200
Hammond, LA 70403-1495 - Phone
- (985) 230-1882
- Fax
- (985) 230-1881
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Hammond, LA 70404
PO Box
Hammond, LA 70404-2668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260408002529 | LA | Practitioner - Registered Dietitian Or Nutrition Professional | 0345715249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100931 | LA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1100931 | LA | Yes |
Addresses
Primary practice location
15837 Paul Vega Dr Ste 200
Hammond, LA 70403-1495
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1882
Other practice location 1
15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 230-6117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2658 | Other | LA | LICENSE |
Other names
- Tracy Miller
Other providers in Hammond, LA
- Kelly Brady
- Andrew Bragagnini
- Lisa Brand
- Christina Shea Bratcher
- Ashley Pinion Bratton
- Jennifer P Breaux
- Kristen Breaux
- Whitney L Breaux
- Olivia Breeland
- Cheri Breland
All providers in Hammond, 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 Mar 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.