Active NPI
Elaine Grey Rogers, MPH, RD, LDN, CHC
- Registered Dietitian
- Shreveport, LA
National Provider Identifier
1508612706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1105 Island Park Blvd Apt 723
Shreveport, LA 71105-4768 - Phone
- (318) 470-9825
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1105 Island Park Blvd Apt 723
Shreveport, LA 71105-4768
Mailing address
1105 Island Park Blvd Apt 723
Shreveport, LA 71105-4768
Phone (318) 470-9825
Other names 1
- Grey Rogers
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1508612706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 ISLAND PARK BLVD APT 723",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054768",
"telephone_number": "318-470-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 ISLAND PARK BLVD APT 723",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054768",
"telephone_number": "318-470-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ELAINE",
"middle_name": "GREY",
"credential": "MPH, RD, LDN, CHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GREY",
"last_name": "ROGERS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.