Avis Schoelen Domingue, MA, RD,LDN,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0761 Issued in LA

Practice address

501 Martin Prejean Rd
Carencro, LA 70520-5219

Phone

(337) 886-7486

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1285654731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARTIN PREJEAN RD",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205219",
            "telephone_number": "337-886-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARTIN PREJEAN RD",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205219",
            "telephone_number": "337-886-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUE",
        "first_name": "AVIS",
        "middle_name": "SCHOELEN",
        "name_prefix": "Mrs.",
        "credential": "MA, RD,LDN,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "0761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUTRITION THERAPY",
            "identifier": "4C131",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Designer Express Transport LLC
• Caroline Bordelon Detraz
• DFM Case Management LLC
• Jennifer H Doerle, PT, DPT
• Rebecca Doise, M.D.
• Hailey Doucet, PHARMD
• Dr Michael Kennedy Family Practice
• Chalya Rader Dugar, LOTR
• Noelle Dunn, PT, DPT
• Wiliam 'Bill' Alfred Dupon, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.