Organization Active NPI

Novel Nutrition Solutions LLC

  • Registered Dietitian
  • Lafayette, LA
National Provider Identifier
1750861167
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2566 Issued in LA
Legal business name
NOVEL NUTRITION SOLUTIONS LLC
Practice address
315 Rue Louis Xiv
Lafayette, LA 70508-5734
Phone
(337) 269-9777
NPI assigned
Aug 15, 2018
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Jordan Smith, RDN, LDNNPI 1942707377
Title
Agent
Phone
(337) 322-6778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2566 LA Primary

Addresses

Primary practice location

315 Rue Louis Xiv
Lafayette, LA 70508-5734

Mailing address

622 Saint Patrick St
Lafayette, LA 70506-4420
Phone (337) 322-6778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1750861167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SAINT PATRICK ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064420",
            "telephone_number": "337-322-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085734",
            "telephone_number": "337-269-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "337-322-6778",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.