Juliette Shivers, NUTRION PROFESSIONAL

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

219 E Gregg St
Shreveport, LA 71104-5158

Phone

(318) 572-6157

Fax

(800) 708-7349

NPI assigned

Jun 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ingram'S Nutrition Consultations

  • Registered Dietitian
  • Shreveport, LA
  • NPI 1497250559

  Nutrition, Education

  NPD Authorized official
• Care Plan Visiting Physicians LLC

  • Home Health Agency
  • Warren, MI
  • NPI 1255501326
  NPD (past) Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1669414801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E GREGG ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045158",
            "telephone_number": "318-572-6157",
            "fax_number": "800-708-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E GREGG ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045158",
            "telephone_number": "318-572-6157",
            "fax_number": "800-708-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "JULIETTE",
        "name_prefix": "Miss",
        "credential": "NUTRION PROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PROVIDER",
            "identifier": "0P21130",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PROVIDER",
            "identifier": "00696F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlina Shields
• Shining Star Professional Services Inc
• Leslie Brooks Shinpoch, CRNA
• Faith Olivia Shipley
• Bethany Longino Shirley, APRN, NP-C
• Hosein M Shokouh-Amiri, M.D.
• Sophia Tayebeh Shokouh-Amiri, MD
• Andrew Blake Sholl, M.D.
• Bryce Shonka
• Wylie Lee Shores, R.PH.

• Nutrition Education Nutritionist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Nutrition Education Nutritionist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.