Active NPI
Jana Michelle Coody, RD
- Registered Dietitian
- Pineville, LA
National Provider Identifier
1700038569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 784
- Practice address
- 100 Pinecrest Dr
Pineville, LA 71360-4276 - Phone
- (318) 641-2000
- Fax
- (318) 641-2309
- NPI assigned
- Oct 10, 2008
- 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 | 784 | LA | Primary |
Addresses
Primary practice location
100 Pinecrest Dr
Pineville, LA 71360-4276
Mailing address
PO Box 5191
Pineville, LA 71361-5191
Phone (318) 641-2000
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 |
|---|---|---|---|
| 784 | LA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1700038569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5191",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713615191",
"telephone_number": "318-641-2000",
"fax_number": "318-641-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINECREST DR",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604276",
"telephone_number": "318-641-2000",
"fax_number": "318-641-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COODY",
"first_name": "JANA",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.