Active NPI
Lillian Michelle Stephens Castille
- Registered Dietitian
- Crowley, LA
National Provider Identifier
1255687927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 868
- Practice address
- 1029 Capitol Ave
Crowley, LA 70526 - Phone
- (337) 788-7507
- Fax
- (337) 788-7757
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 868 | LA | Primary |
| Nutritionist | 133N00000X | 868 | LA |
Addresses
Primary practice location
1029 Capitol Ave
Crowley, LA 70526
Mailing address
1029 Capital Ave
Crowley, LA 70526
Phone (337) 788-7507
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1255687927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 CAPITAL AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "70526",
"telephone_number": "337-788-7507",
"fax_number": "337-788-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 CAPITOL AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "70526",
"telephone_number": "337-788-7507",
"fax_number": "337-788-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS CASTILLE",
"first_name": "LILLIAN",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "868",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "LA",
"license": "868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.