MRS. LESLIE GAUTHIER FONTENOT (NPI# 1407878929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407878929 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE GAUTHIER FONTENOT |
| Credential | RD,LDN,CDE, MS |
| Practice Address |
4704 Ambassador Caffery Pkwy Lafayette LA 70508-6908 |
| Mailing Address |
103 River Rd Lafayette LA 70501-7737 |
| Practice Telephone | 3373713101 |
| Mailing Telephone | 3372616265 |
| Mailing Fax Number | 3372616617 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 713 | LA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2390 West Congress Street, Umc - Disease Management Dept, Lafayette, LA 70506 | 3372356764 |
| Street Address |
4704 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080738 | Kenneth W Falterman | Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-07 |
| 1124673439 | David Paul Bailey | Physician Assistant | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2019-08-04 |
| 1144673344 | Janci Bienvenu Detwiler | Nurse Practitioner | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2016-07-22 |
| 1780009613 | Sarah Iblings | Nurse Practitioner | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2014-03-01 |
| 1669715322 | Ryan Patrick Farmer | Orthopaedic Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2013-04-01 |
| 1568788479 | Kenneth Richmond Habetz | Psychiatry & Neurology | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2010-04-16 |
| 1306071162 | Amy Arceneaux Vitte | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2009-05-22 |
| 1487844650 | Gabriel L Dersam | Orthopaedic Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2007-07-25 |
| 1144397472 | Deiadra Garrett | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-11-30 |
| 1447325360 | Janna Kirsten Flint Wilson | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1154886018 | Stephanie B Kobetz | Dietitian, Registered | 105 Branch Cir, Lafayette, LA 70508-6323 | 2019-02-05 |
| 1497236046 | Frances Mcintosh | Dietitian, Registered | 332 E Farrel Rd Ste C, Lafayette, LA 70508-7183 | 2018-08-22 |
| 1073052692 | Amy Staggs | Dietitian, Registered | 101 W Farrel Rd Ste 101, Lafayette, LA 70508-7243 | 2017-02-15 |
| 1619419124 | Kara M Booth | Dietitian, Registered | 35 Executive Dr, Suite 5, Lafayette, IN 47905-3835 | 2016-11-15 |
| 1629443841 | Corryn Smith Taylor | Dietitian, Registered | 411 Saint Patrick St, Lafayette, LA 70506-4552 | 2015-12-14 |
| 1841605755 | Elizabeth Champagne, LLC | Dietitian, Registered | 1304 Lafayette St, Lafayette, LA 70501-6842 | 2014-06-30 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1134475254 | Traci Quebedeaux | Dietitian, Registered | 201 W. Willow St Bldg A, Lafayette, LA 70501 | 2012-07-26 |
| 1063772671 | Jessica Person Eckert | Dietitian, Registered | 209 Marquette Dr, Lafayette, LA 70503-6640 | 2012-05-17 |
| 1710246962 | Kathleen N Bishop | Dietitian, Registered | 100 Winchester Dr, Apt 402, Lafayette, LA 70506-6096 | 2012-05-09 |
| Find all providers in LAFAYETTE | ||||
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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.