Active NPI
Mayci Anastasia Herbert, RDN, LRD
- Registered Dietitian
- Barksdale Afb, LA
National Provider Identifier
1982432654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3824
- Practice address
- 224 Bossier Rd
Barksdale Afb, LA 71110-2040 - Phone
- (916) 347-2115
- NPI assigned
- Jul 24, 2024
- 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 | 3824 | LA | Primary |
Addresses
Primary practice location
224 Bossier Rd
Barksdale Afb, LA 71110-2040
Mailing address
224 Bossier Rd
Barksdale Afb, LA 71110-2040
Phone (916) 347-2115
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 |
|---|---|---|---|
| 3824 | LA | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
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": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1982432654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 BOSSIER RD",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102040",
"telephone_number": "916-347-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 BOSSIER RD",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102040",
"telephone_number": "916-347-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "MAYCI",
"middle_name": "ANASTASIA",
"credential": "RDN, LRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "3824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.