Active NPI
Dorothy Dittmer Kenda, RD LDN
- Registered Dietitian
- Bogalusa, LA
National Provider Identifier
1699066209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2190
- Practice address
- 400 Memphis St
Bogalusa, LA 70427-3862 - Phone
- (985) 730-7177
- Fax
- (985) 730-6898
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2190 | LA | Primary |
Addresses
Primary practice location
400 Memphis St
Bogalusa, LA 70427-3862
Mailing address
400 Memphis St
Bogalusa, LA 70427-3862
Phone (985) 730-7177
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1699066209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MEMPHIS ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273862",
"telephone_number": "985-730-7177",
"fax_number": "985-730-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MEMPHIS ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273862",
"telephone_number": "985-730-7177",
"fax_number": "985-730-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDA",
"first_name": "DOROTHY",
"middle_name": "DITTMER",
"credential": "RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.