Laura Wootten Hodges, MPH, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1714 Issued in MS

Practice address

2000 15TH St
Meridian, MS 39301-4138

Phone

(601) 553-6284

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Wootten Rush Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1417424060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 TRICK TALBERT RD",
            "city": "BAILEY",
            "state": "MS",
            "postal_code": "393209735",
            "telephone_number": "601-527-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 15TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014138",
            "telephone_number": "601-553-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "LAURA",
        "middle_name": "WOOTTEN",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "RUSH",
            "middle_name": "WOOTTEN",
            "credential": "MPH, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rolandas Lemarc Hill, D.D.S.
• Sharonica Hill, LCSW
• Lauren Brady Hinson
• John J Hodge, D.M.D., M.S.
• Michael Hodge
• Katherine Hogan, FNP-C
• Russell Lin Hogan, MS, LPC, CASAC
• Sacky Horne Holdiness, PHD
• Laceda Holifield
• Lynn M. Holifield, SLP

• Registered Dietitian in Meridian, MS
• Providers in Meridian, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.