Organization Active NPI

Courtney Butts Nutrition LLC

  • Registered Dietitian
  • Bossier City, LA
National Provider Identifier
1669170916
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COURTNEY BUTTS NUTRITION LLC
Practice address
2119 Kayden Jay Dr
Bossier City, LA 71112-5036
Phone
(318) 607-7470
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Courtney Hammons, MS, RDN, LDNNPI 1558029082
Title
Registered Dietitian Nutritionist
Phone
(318) 607-7470

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2119 Kayden Jay Dr
Bossier City, LA 71112-5036

Mailing address

2119 Kayden Jay Dr
Bossier City, LA 71112-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426000676 LA Part B Supplier - Clinic/Group Practice 2365807328 Receives reassigned benefits from 1 practitioner
Practice locations: Ruston, LA

National Provider Directory

National Provider Directory

Locations

2000 N Trenton St
Ste 1
Ruston, LA 71270
Phone (757) 585-3411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1669170916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 KAYDEN JAY DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711125036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 KAYDEN JAY DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711125036",
            "telephone_number": "318-607-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BUTTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HAMMONS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "318-607-7470",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.