Gabrielle Alyssa Anderson

Individual provider Active NPI Registered Dietitian · Ponchatoula, LA

NPI 1194609271 · NPPES record last updated Aug 2, 2025

Key facts

NPI
1194609271
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3920 (LA)
Practice address
19081 Greenleaf Cir
Ponchatoula, LA 70454-5274
Phone
(504) 277-2549
NPI assigned
Aug 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3920LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3920 LA Yes

Addresses

Primary practice location

19081 Greenleaf Cir
Ponchatoula, LA 70454-5274

Mailing address

19081 Greenleaf Cir
Ponchatoula, LA 70454-5274
Phone (504) 277-2549

Other providers in Ponchatoula, LA

All providers in Ponchatoula, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.