Macey Comeaux, RDN

Individual provider Active NPI Registered Dietitian · Youngsville, LA

NPI 1467184697 · NPPES record last updated Jun 27, 2022

Key facts

NPI
1467184697
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3161 (LA)
Practice address
204 Sugar Ridge LN
Youngsville, LA 70592-6065
Phone
(337) 315-6603
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3161LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3161 LA Yes

Addresses

Primary practice location

204 Sugar Ridge LN
Youngsville, LA 70592-6065

Mailing address

204 Sugar Ridge LN
Youngsville, LA 70592-6065
Phone (337) 315-6603

Other practice location 1

118 Exchange Pl
Lafayette, LA 70503-2510
Phone (337) 242-7307

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://secure.gethealthie.com/

Other providers in Youngsville, LA

All providers in Youngsville, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.