Verdin Enterprises, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

VERDIN ENTERPRISES, LLC

Practice address

164 Pattontown Road
Homer, LA 71048

Phone

(218) 245-0235

Fax

(318) 353-6275

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tammi Michele Verdin, RD

Title

Owner

Phone

(318) 245-0235

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1871108993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "LISBON",
            "state": "LA",
            "postal_code": "710480201",
            "telephone_number": "318-245-0235",
            "fax_number": "318-548-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PATTONTOWN ROAD",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "71048",
            "telephone_number": "218-245-0235",
            "fax_number": "318-353-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDIN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "VERDIN",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-245-0235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "164 Pattontown Road",
            "city": "Homer",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.