NPIMap

Organization Active NPI

Eating Disorder Center, LLC

  • Registered Dietitian
  • Baton Rouge, LA
National Provider Identifier
1245556174
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1957 Issued in LA
Legal business name
EATING DISORDER CENTER, LLC
Practice address
5329 Dijon Dr
Suite 103
Baton Rouge, LA 70808-4378
Phone
(225) 925-5750
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Linda Fergus Ponder, MS RD LDN
Title
Dietitian - Nutritionist
Phone
(225) 925-5750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1957 LA Primary

Addresses

Primary practice location

5329 Dijon Dr
Suite 103
Baton Rouge, LA 70808-4378

Mailing address

5329 Dijon Dr
Suite 103
Baton Rouge, LA 70808-4378
Phone (225) 925-5750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1245556174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 DIJON DR",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084378",
            "telephone_number": "225-925-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 DIJON DR",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084378",
            "telephone_number": "225-925-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "FERGUS",
        "authorized_official_title_or_position": "DIETITIAN  - NUTRITIONIST",
        "authorized_official_telephone_number": "225-925-5750",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.