Diabetes Assessment and Management Center of Shreveport LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC

Practice address

1560 Irving PL
Shreveport, LA 71101-4604

Phone

(318) 212-1194

Fax

(318) 212-1196

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Charles C. Crenshaw

Title

President

Phone

(318) 212-1194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanie Landes, RN

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1891140430
  NPD

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1972058170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014604",
            "telephone_number": "318-212-1194",
            "fax_number": "318-212-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014604",
            "telephone_number": "318-212-1194",
            "fax_number": "318-212-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-212-1194"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dexter, R.D.
• Sarita Dhakal, MD
• Dharam P Gurwara Apmc
• Ganesh Suryakant Dhoble, M.D.
• Marissa Leigh Di Napoli, MD
• Diabetes Assessment and Management Center of Shreveport, LLC
• Diabetic Life Pulse of Louisiana, LLC
• Diagnostic Imaging Associates
• Dialysis Clinic Inc
• Dialysis Clinic Inc.

• Registered Dietitian in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.