Active NPI
Mary Anne Reeser, RD/LND
- Registered Dietitian
- New Iberia, LA
National Provider Identifier
1346597648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1215
- Practice address
- 715B Weldon St
New Iberia, LA 70560-4861 - Phone
- (337) 373-0021
- NPI assigned
- Aug 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1215 | LA | Primary |
Addresses
Primary practice location
715B Weldon St
New Iberia, LA 70560-4861
Mailing address
715B Weldon St
New Iberia, LA 70560-4861
Phone (337) 373-0021
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 |
|---|---|---|---|
| 1215 | LA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Office of Public Health Louisiana | Dietitian, Registered | Past | Accepting new patients |
| Louisiana Department of Health - Office of Public Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Baton Rouge, LA
- NPI 1396316212
-
- Registered Dietitian
- New Iberia, LA
- NPI 1942555255
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1346597648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715B WELDON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604861",
"telephone_number": "337-373-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715B WELDON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604861",
"telephone_number": "337-373-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESER",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "RD/LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.