NPIMap

Organization Active NPI

Reactive Nutrition, LLC

  • Registered Dietitian
  • Lafayette, LA
National Provider Identifier
1285864025
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2156 Issued in LA
Legal business name
REACTIVE NUTRITION, LLC
Practice address
4540 Ambassador Caffery Pkwy
C240
Lafayette, LA 70508-6928
Phone
(337) 255-8557
Fax
(337) 504-2421
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Lanah J Brennan, RD, LDN
Title
Owner
Phone
(337) 255-8557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2156 LA Primary

Addresses

Primary practice location

4540 Ambassador Caffery Pkwy
C240
Lafayette, LA 70508-6928

Mailing address

117 Emily Cir
Lafayette, LA 70508-6755
Phone (337) 255-8557

National Provider Directory

National Provider Directory

Locations

4540 Ambassador Caffery Pkwy
Ste C240
Lafayette, LA 70508
Phone (337) 255-8557

1819 W Pinhook Rd
Ste 108A
Lafayette, LA 70508
Phone (337) 255-8557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1285864025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EMILY CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086755",
            "telephone_number": "337-255-8557",
            "fax_number": "337-504-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "C240",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-255-8557",
            "fax_number": "337-504-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIVE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "LANAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-255-8557",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2009; 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.