Ingram'S Nutrition Consultations

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

INGRAM'S NUTRITION CONSULTATIONS

Practice address

219 E Gregg St
Shreveport, LA 71104-5158

Phone

(318) 572-6157

Fax

(800) 708-7349

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Juliette Shivers, NPNPI 1669414801

Title

Ceo/Community Nutrition

Phone

(318) 572-6157

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliette Shivers, NUTRION PROFESSIONAL

  • Nutrition Education Nutritionist
  • Shreveport, LA
  • NPI 1669414801

  Nutrition, Education

  NPD Authorized official

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1497250559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E GREGG ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045158",
            "telephone_number": "318-572-6157",
            "fax_number": "800-708-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E GREGG ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045158",
            "telephone_number": "318-572-6157",
            "fax_number": "800-708-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM'S NUTRITION CONSULTATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SHIVERS",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "CEO/COMMUNITY NUTRITION",
        "authorized_official_telephone_number": "318-572-6157",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusion Partners, LLC
• Infusion Partners, LLC
• Susan Ing
• Patrick Ingraffia
• Kristofer Ingram
• Brent E Ingvardsen, CRNA
• Injurymd, LLC
• Mary Inman, ACNPC-AG
• Inner Quality Transportation Services
• Inner Space LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.