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DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC NPI 1972058170


NPI Information

NPI: 1972058170
Provider Name: DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1560 IRVING PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 212-1194
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DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC is a dietitian registered in Shreveport, LA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC NPI is 1972058170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1560 IRVING PL
SHREVEPORT, LA
ZIP 71101-604
Phone: (318) 212-1194
Fax: (318) 212-1196

The provider's authorized official is Charles C. Crenshaw .
The authorized official title is President and has the following contact phone number (318) 212-1194.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredLOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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