Active NPI
Donna M Pace, MBA, RDN, LDN
- Nutritionist
- Madisonville, LA
National Provider Identifier
1497271464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 431
- Practice address
- 214 Mack LN
Madisonville, LA 70447-9547 - Phone
- (985) 264-8334
- NPI assigned
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 431 | LA | Primary |
Addresses
Primary practice location
214 Mack LN
Madisonville, LA 70447-9547
Mailing address
1037 Nursery Ave
Metairie, LA 70005-2321
Phone (504) 258-0904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255712410 | Medicaid | LA |
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431 | LA | MD | Substance Use Disorder Rehabilitation Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Dimensions | Past | Accepting new patients | |
| Vesta Batchelder LDN Rd Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Mandeville, LA
- NPI 1386510782
-
- Registered Dietitian
- Madisonville, LA
- NPI 1255712410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1497271464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 NURSERY AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052321",
"telephone_number": "504-258-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MACK LN",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704479547",
"telephone_number": "985-264-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "DONNA",
"middle_name": "M",
"credential": "MBA, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "LA",
"license": "431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255712410",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.