Amanda Breaux, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86047330 Issued in LA

Practice address

37275 Brigantines Dr
Prairieville, LA 70769-3109

Phone

(225) 939-0644

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1598534307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37275 BRIGANTINES DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37275 BRIGANTINES DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693109",
            "telephone_number": "225-939-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "AMANDA",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "86047330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Boxie
• Keuna Bradford
• Patricia Gayle Bradford, LPC
• Silvia Brautigam-Martinez, DDS
• Patricia Minnis Brazier-Carter, PHD
• Jarvis Tramon Bright
• Jordan Brignac, APRN, FNP
• Angie Bringaze, FNP-C
• Allyson Britton, OTD, OTR/L
• Arielle Alicia Brown, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.