Active NPI
Healing RXD,LLC
- Renal Nutrition Registered Dietitian
- Mandeville, LA
National Provider Identifier
1619627924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Legal business name
- HEALING RXD,LLC
- Practice address
- 675 N Causeway Blvd
Mandeville, LA 70448-4600 - Phone
- (985) 710-2803
- NPI assigned
- Mar 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Marie Alegre Park
- Title
- Authorized Official/ Owner
- Phone
- (985) 710-2803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | Primary |
Addresses
Primary practice location
675 N Causeway Blvd
Mandeville, LA 70448-4600
Mailing address
675 N Causeway Blvd
Mandeville, LA 70448-4600
Phone (985) 710-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930729 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
675 N Causeway Blvd
Mandeville, LA 70448
Phone (985) 200-3530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Renal Nutrition Registered Dietitian
- Mandeville, LA
- NPI 1922321926
Nutrition, Renal
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1619627924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N CAUSEWAY BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704484600",
"telephone_number": "985-710-2803",
"fax_number": "985-202-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N CAUSEWAY BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704484600",
"telephone_number": "985-710-2803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING RXD,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "ANNA MARIE",
"authorized_official_middle_name": "ALEGRE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ OWNER",
"authorized_official_telephone_number": "985-710-2803"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2930729",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.