Individual provider Active NPI

Alison Z Legros, D.T.

  • Registered Dietitian
  • Lafayette, LA
National Provider Identifier
1205033743
Registry record updated Nov 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1059 Issued in LA
Practice address
1602 W Pinhook Rd
Suite 204
Lafayette, LA 70508-3735
Phone
(337) 207-5482
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1059 LA Primary

Addresses

Primary practice location

1602 W Pinhook Rd
Suite 204
Lafayette, LA 70508-3735

Mailing address

146 Sioux LN
Opelousas, LA 70570-0327
Phone (337) 207-5482

Other names 1

  • Mrs. Alison Gautreaux Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1059LAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1205033743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SIOUX LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700327",
            "telephone_number": "337-207-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD",
            "address_2": "SUITE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-207-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGROS",
        "first_name": "ALISON",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "D.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "GAUTREAUX",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.