Organization Active NPI

Elizabeth Champagne, LLC

  • Registered Dietitian
  • Lafayette, LA
National Provider Identifier
1841605755
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
298 Issued in LA
Legal business name
ELIZABETH CHAMPAGNE, LLC
Practice address
1304 Lafayette St
Lafayette, LA 70501-6842
Phone
(337) 277-1069
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Elizabeth G Champagne, RDNPI 1972801884
Title
Registered Dietitian
Phone
(337) 277-1069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 298 LA Primary

Addresses

Primary practice location

1304 Lafayette St
Lafayette, LA 70501-6842

Mailing address

1304 Lafayette St
Lafayette, LA 70501-6842
Phone (337) 277-1069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140710000158 LA Part B Supplier - Clinic/Group Practice 6002031929 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1304 Lafayette St
Lafayette, LA 70501
Phone (337) 277-1069

201 Westmark Blvd
Ste E
Lafayette, LA 70506
Phone (337) 504-4378

325 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 210-5827

Practitioners & affiliated clinicians

Practitioners 6

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1841605755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LAFAYETTE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016842",
            "telephone_number": "337-277-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LAFAYETTE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016842",
            "telephone_number": "337-277-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CHAMPAGNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "337-277-1069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "298",
            "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 Jun 30, 2014; 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.