Active NPI
Frances Boudreaux White
- Gerontological Nutrition Registered Dietitian
- Baton Rouge, LA
National Provider Identifier
1679396675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontological Nutrition Registered Dietitian
- License
- 470
- Practice address
- 815 Louray Dr
Baton Rouge, LA 70808-5842 - Phone
- (225) 938-6035
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 470 | LA | Primary |
Addresses
Primary practice location
815 Louray Dr
Baton Rouge, LA 70808-5842
Mailing address
815 Louray Dr
Baton Rouge, LA 70808-5842
Phone (225) 938-6035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1679396675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 LOURAY DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708085842",
"telephone_number": "225-938-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 LOURAY DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708085842",
"telephone_number": "225-938-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "FRANCES",
"middle_name": "BOUDREAUX",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "LA",
"license": "470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.