Jill Ballard, R.D.,L.D.N.
Individual provider Active NPI Registered Dietitian · Livingston, LA
NPI 1487066007 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1487066007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2385 (LA)
- Practice address
- 18811 La Highway 42
Livingston, LA 70754-4039 - Phone
- (225) 571-2126
- Fax
- (225) 686-1782
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2385 | LA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2385 | LA | Yes |
Addresses
Primary practice location
18811 La Highway 42
Livingston, LA 70754-4039
Mailing address
18811 La Highway 42
Livingston, LA 70754-4039
Phone (225) 571-2126
Other providers in Livingston, LA
- Doreen Seiser Adams
- Alan M Day DDS
- Arianne Allums
- Angelicare Consulting LLC
- Jenna Lauren Barcelona
- Brandi Sparks Basso
- Karson Bencaz
- Cindy Parks Bennett
- Hillary Benton
All providers in Livingston, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.