Active NPI
Tavis J Piattoly, MS, RD, LDN
- Sports Dietetics Nutrition Registered Dietitian
- Covington, LA
National Provider Identifier
1619518677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 1652
- Practice address
- 3 Wickfield Dr
Covington, LA 70433-6816 - Phone
- (504) 250-3325
- NPI assigned
- Oct 1, 2019
- Last updated
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 1652 | LA | Primary |
Addresses
Primary practice location
3 Wickfield Dr
Covington, LA 70433-6816
Mailing address
3 Wickfield Dr
Covington, LA 70433-6816
Phone (504) 250-3325
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1652 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Everfit Inc | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1619518677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WICKFIELD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336816",
"telephone_number": "504-250-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WICKFIELD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336816",
"telephone_number": "504-250-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIATTOLY",
"first_name": "TAVIS",
"middle_name": "J",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "LA",
"license": "1652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.