Monica Elliott Anderson, MPH, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LA Issued in LA

Practice address

510 E Stoner Ave
Shreveport, LA 71101-4243

Phone

(318) 990-5247

Fax

(318) 990-5724

NPI assigned

Feb 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1609235514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 RHAPSODY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184245",
            "telephone_number": "318-218-1287",
            "fax_number": "318-687-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-990-5247",
            "fax_number": "318-990-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT ANDERSON",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "896549",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "LA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan D Elledge, PA-C
• Kelsey Austin Ellender-Barthel, PA
• Sara Catherine Elliott, FNP-C
• Akimi Ellis
• Cheyenne Ellis, PHARMD
• Constance Colettle Ellis
• Keiah Ellis, PH.D.

• 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 Feb 19, 2016; 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.