Individual provider Active NPI

Lori Elizabeth-Fonseca Bennett, RDN, LDN

  • Registered Dietitian
  • Houma, LA
National Provider Identifier
1699462952
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3438 Issued in LA
Practice address
1978 Industrial Blvd
Houma, LA 70363-7055
Phone
(985) 873-1310
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3438 LA Primary

Addresses

Primary practice location

1978 Industrial Blvd
Houma, LA 70363-7055

Mailing address

141 Twin Oaks Dr
Raceland, LA 70394-2761
Phone (985) 537-2666

Other practice location 1

141 Twin Oaks Dr
Raceland, LA 70394-2761
Phone (985) 537-2666

Other names 1

  • Lori Elizabeth Fonseca Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615003075 LA Practitioner - Registered Dietitian Or Nutrition Professional 8729446299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Dietitian, Registered CurrentSince May 30, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince May 30, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1699462952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Twin Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703942761",
            "country_code": "US",
            "telephone_number": "985-537-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LORI",
        "middle_name": "ELIZABETH-FONSECA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "FONSECA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

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