Active NPI
Bonnie Lee
- Registered Dietitian
- Hammond, LA
National Provider Identifier
1558617837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1118
- Practice address
- 15481 W Club Deluxe Rd
Hammond, LA 70403-1466 - Phone
- (985) 543-4880
- Fax
- (985) 543-4888
- NPI assigned
- Jul 24, 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 | 1118 | LA | Primary |
Addresses
Primary practice location
15481 W Club Deluxe Rd
Hammond, LA 70403-1466
Mailing address
15481 W Club Deluxe Rd
Hammond, LA 70403-1466
Phone (985) 543-4880
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 |
|---|---|---|---|
| 1118 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Department of Health - Office of Public Health | 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.
-
dba Office of Public Health
- Public Health or Welfare Agency
- Baton Rouge, LA
- NPI 1396316212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1558617837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15481 W CLUB DELUXE RD",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031466",
"telephone_number": "985-543-4880",
"fax_number": "985-543-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15481 W CLUB DELUXE RD",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031466",
"telephone_number": "985-543-4880",
"fax_number": "985-543-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.