Active NPI
Shaina Celeste Elliott, R.D.
- Registered Dietitian
- Lake Charles, LA
National Provider Identifier
1932359635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1675
- Practice address
- 1801 Oak Park Blvd
Lake Charles, LA 70601-8900 - Phone
- (337) 494-6425
- Fax
- (337) 430-6959
- NPI assigned
- Sep 30, 2008
- 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 | 1675 | LA | Primary |
Addresses
Primary practice location
1801 Oak Park Blvd
Lake Charles, LA 70601-8900
Mailing address
124 Jerry Road
P.O. Box 287
Lacassine, LA 70650
Phone (337) 588-4941
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1675 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1932359635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 JERRY ROAD",
"address_2": "P.O. BOX 287",
"city": "LACASSINE",
"state": "LA",
"postal_code": "70650",
"telephone_number": "337-588-4941",
"fax_number": "337-588-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018900",
"telephone_number": "337-494-6425",
"fax_number": "337-430-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "SHAINA",
"middle_name": "CELESTE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.