Active NPI
Audra L. McLain, MS, LDN, RD
- Registered Dietitian
- Springhill, LA
National Provider Identifier
1790799195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1680
- Practice address
- 2001 Doctors Dr
Springhill, LA 71075-4526 - Phone
- (318) 539-1000
- Fax
- (318) 539-4085
- NPI assigned
- Jul 28, 2006
- 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 | 1680 | LA | Primary |
Addresses
Primary practice location
2001 Doctors Dr
Springhill, LA 71075-4526
Mailing address
2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896972 | Other | LA | REGISTERED DIETITIAN |
| 1680 | Other | LA | DIETITIAN STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | LA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1790799195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 DOCTORS DR",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710754526",
"telephone_number": "318-539-1000",
"fax_number": "318-539-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 DOCTORS DR",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710754526",
"telephone_number": "318-539-1000",
"fax_number": "318-539-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "AUDRA",
"middle_name": "L.",
"credential": "MS, LDN, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "896972",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN STATE LICENSE",
"identifier": "1680",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springhill, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.