Amber Poole Puma, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1671 Issued in LA

Practice address

13386 Rosewood Dr
Ponchatoula, LA 70454-6572

Phone

(985) 351-4484

NPI assigned

Jun 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lallie Kemp Medical Ctr

  • Critical Access Hospital
  • Independence, LA
  • NPI 1558303420
  Medicare reassignment NPD
• Lallie Kemp Medical Ctr

  • Critical Access Hospital
  • Independence, LA
  • NPI 1972545846
  NPD

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1245466069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13386 ROSEWOOD DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546572",
            "telephone_number": "985-351-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13386 ROSEWOOD DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546572",
            "telephone_number": "985-351-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMA",
        "first_name": "AMBER",
        "middle_name": "POOLE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Providers for a Healthy Feliciana Inc
• Christopher Jacob Pugh
• Purser Chiropractic LLC.
• Chessa Dawn Purser, DC
• Quality Home Oxygen, Inc.
• Lucas Quebedeaux
• Rae a. Gauthier, DDS, LLC Dba Ponchatoula Family Dentistry

• Registered Dietitian in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.