MRS. OLIVIA PAIGE BLALOCK (NPI# 1598176653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598176653 |
| Entity Type | Individual |
| Full Name | MRS. OLIVIA PAIGE BLALOCK |
| Other Name | MS. OLIVIA PAIGE ST. CYR |
| Credential | RD |
| Practice Address |
1727 Imperial Blvd Building 2 Lake Charles LA 70605-5362 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3373103670 |
| Practice Fax Number | 3374211408 |
| Mailing Telephone | 3373128258 |
| Mailing Fax Number | 3373126708 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2541 | LA | Dietary & Nutritional Service Providers |
| Street Address |
1727 IMPERIAL BLVD BUILDING 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374595 | Samantha A Rider | Dietitian, Registered | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2006-04-07 |
| 1720480924 | Imperial Health LLP | Internal Medicine | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2014-09-18 |
| 1174956510 | Clay Lawrence Hill | Nurse Practitioner | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2013-08-20 |
| 1528356367 | Jared R Whitehead | Nurse Practitioner | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2011-07-14 |
| 1609028968 | Hart Eye Center, LLC | Clinic/Center | 1727 Imperial Blvd, Bldg. 1, Ste. B, Lake Charles, LA 70605-5362 | 2008-10-17 |
| 1124124870 | Sandra Ellen Dempsey | Internal Medicine | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2006-09-16 |
| 1467568600 | Timothy Rayford Gilbert | Internal Medicine | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 | 70605 |
Please comment or provide details below to improve the information on MRS. OLIVIA PAIGE BLALOCK.
| 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.