Caroline Debrock, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

15790 Paul Vega MD Dr
Revenue Management - Credentialing
Hammond, LA 70403-1434

Phone

(985) 230-1682

Fax

(985) 230-1617

NPI assigned

Mar 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caroline Acquistapace Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Oaks Medical Center, LLC

  • Clinical Medical Laboratory
  • Hammond, LA
  • NPI 1619303773
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1477084085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1609",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041609",
            "telephone_number": "985-230-6033",
            "fax_number": "985-230-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "address_2": "REVENUE MANAGEMENT - CREDENTIALING",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1682",
            "fax_number": "985-230-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROCK",
        "first_name": "CAROLINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "ACQUISTAPACE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Dean, APRN-CNP
• Deanna Mathews, LPC, LLC
• Deanna Mathews, LPC, LLC
• Christina Bennett Debautte, MSN, APRN, FNP-C
• Deborah Yim, DMD, LLC
• Shannon Deckert, DO
• Imani Decuir, AAS
• Anthony Delori Degioia
• Patrick A. Delaney Jr., M.D.
• Amber Delasalle, PMHNP-BC

• Registered Dietitian in Hammond, LA
• Providers in Hammond, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.