TABITHA NICHOLAS (NPI# 1407175888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407175888 |
| Entity Type | Individual |
| Full Name | TABITHA NICHOLAS |
| Credential | M.S., RD, LDN |
| Practice Address |
4007 W Walton St Lake Charles LA 70607-3656 |
| Practice Telephone | 3375644826 |
| Practice Fax Number | 3375644826 |
| Mailing Telephone | 3375644826 |
| Mailing Fax Number | 3375644826 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
2038 | LA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 2038 | LA | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
2038 | LA | Dietary & Nutritional Service Providers |
| Street Address |
4007 W WALTON ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154982460 | Nicholas Nutrition & Optimal Wellness Now | Dietitian, Registered | 4007 W Walton St, Lake Charles, LA 70607-3656 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770081721 | Vanessa Hardy | Dietitian, Registered | 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5362 | 2018-01-24 |
| 1659725802 | Shatonia Mccarty | Dietitian, Registered | 6675 Highway 90 E Trlr 218, Lake Charles, LA 70615-4769 | 2016-04-13 |
| 1215300835 | Kyle Blanton | Dietitian, Registered | 707a E. Prien Lake Rd., Lake Charles, LA 70601 | 2015-11-04 |
| 1548646599 | Eljeana Quebedeaux | Dietitian, Registered | 902 S Kade, Lake Charles, LA 70605-7189 | 2015-07-31 |
| 1942508981 | Jacqueline Brown Richard | Dietitian, Registered | 524 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2011-02-28 |
| 1053374595 | Samantha A Rider | Dietitian, Registered | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2006-04-07 |
| 1952363459 | Stephanie J Stanfield | Dietitian, Registered | 721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 | 2006-04-03 |
| 1154982460 | Nicholas Nutrition & Optimal Wellness Now | Dietitian, Registered | 4007 W Walton St, Lake Charles, LA 70607-3656 | 2019-06-26 |
| 1043787302 | Courtney E Foch Labove | Dietitian, Registered | 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5392 | 2018-10-25 |
| 1043621089 | Hailey Crawford | Dietitian, Registered | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.