Active NPI
Nikki Stevens, LICENSED DIETITIAN
- Registered Dietitian
- Houma, LA
National Provider Identifier
1346885282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3059
- Practice address
- 158 Regal Row
Houma, LA 70360-6097 - Phone
- (985) 876-8889
- Fax
- (985) 858-2934
- NPI assigned
- Nov 14, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 3059 | LA | |
| Registered Dietitian | 133V00000X | 3059 | LA | Primary |
Addresses
Primary practice location
158 Regal Row
Houma, LA 70360-6097
Mailing address
443 Jean St
Houma, LA 70360-2435
Phone (985) 870-6606
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3059 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Stick Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Baton Rouge, LA
- NPI 1992986715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1346885282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 JEAN ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602435",
"telephone_number": "985-870-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 REGAL ROW",
"city": "HOUMA",
"state": "LA",
"postal_code": "703606097",
"telephone_number": "985-876-8889",
"fax_number": "985-858-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "NIKKI",
"credential": "LICENSED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "LA",
"license": "3059",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "3059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.