Active NPI
Novel Nutrition Solutions LLC
- Registered Dietitian
- Lafayette, LA
National Provider Identifier
1750861167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2566
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Smith, RDN, LDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Registered Dietitian
- Lafayette, LA
- NPI 1942707377
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.