Active NPI
Stacey Dixon, LDN, RD
- Registered Dietitian
- Moreauville, LA
National Provider Identifier
1962287698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1290
- Practice address
- 386 Main St
Moreauville, LA 71355-2504 - Phone
- (337) 258-9650
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1290 | LA | Primary |
Addresses
Primary practice location
386 Main St
Moreauville, LA 71355-2504
Mailing address
386 Main St
Moreauville, LA 71355-2504
Phone (337) 258-9650
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 |
|---|---|---|---|
| 1290 | LA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1962287698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 MAIN ST",
"city": "MOREAUVILLE",
"state": "LA",
"postal_code": "713552504",
"telephone_number": "337-258-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 MAIN ST",
"city": "MOREAUVILLE",
"state": "LA",
"postal_code": "713552504",
"telephone_number": "337-258-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "STACEY",
"name_prefix": "Ms.",
"credential": "LDN, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreauville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.