Active NPI
Donna Davis, RD, LDN
- Registered Dietitian
- Monroe, LA
National Provider Identifier
1487909982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 740
- Practice address
- 1650 Desiard St
2ND Floor
Monroe, LA 71201-7722 - Phone
- (318) 361-7205
- Fax
- (318) 362-3163
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 740 | LA | Primary |
Addresses
Primary practice location
1650 Desiard St
2ND Floor
Monroe, LA 71201-7722
Mailing address
1650 Desiard St
2ND Floor
Monroe, LA 71201-7722
Phone (318) 361-7205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1487909982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 DESIARD ST",
"address_2": "2ND FLOOR",
"city": "MONROE",
"state": "LA",
"postal_code": "712017722",
"telephone_number": "318-361-7205",
"fax_number": "318-362-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 DESIARD ST",
"address_2": "2ND FLOOR",
"city": "MONROE",
"state": "LA",
"postal_code": "712017722",
"telephone_number": "318-361-7205",
"fax_number": "318-362-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DONNA",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.