Individual provider Active NPI

Daphne Olivier, LDN, RD, CDE

  • Registered Dietitian
  • Breaux Bridge, LA
National Provider Identifier
1376553271
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1909 Issued in LA
Practice address
1011 Rue Bois de Chene
Breaux Bridge, LA 70517-6735
Phone
(337) 296-1628
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1909 LA Primary

Addresses

Primary practice location

1011 Rue Bois de Chene
Breaux Bridge, LA 70517-6735

Mailing address

1011 Rue Bois de Chene
Breaux Bridge, LA 70517-6735
Phone (337) 296-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000144 LA Practitioner - Registered Dietitian Or Nutrition Professional 2163420563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5826 Johnston St
Lafayette, LA 70503-5305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lwell LLC Dietitian, Registered CurrentSince Dec 14, 2020 Accepting new patients

Locations

6721 Government St
Ste B
Baton Rouge, LA 70806
Phone (337) 296-1628

6721 Government St
Baton Rouge, LA 70806

5826 Johnston St
Lafayette, LA 70503
Phone (337) 296-1628

231 La Rue France
Lafayette, LA 70508
Phone (337) 889-5780

3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188

1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1376553271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 RUE BOIS DE CHENE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176735",
            "telephone_number": "337-296-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 RUE BOIS DE CHENE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176735",
            "telephone_number": "337-296-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "DAPHNE",
        "credential": "LDN, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.