MARY A CLAVELLE (NPI# 1750721403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750721403 |
| Entity Type | Individual |
| Full Name | MARY A CLAVELLE |
| Credential | RD, LDN |
| Practice Address |
6351 Main St Zachary LA 70791-4038 |
| Mailing Address |
Po Box 770 Zachary LA 70791-0770 |
| Practice Telephone | 2253062000 |
| Mailing Telephone | 2253062000 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2014-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1147 | LA | Dietary & Nutritional Service Providers |
| Street Address |
6351 MAIN ST |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801392 | John Francis Fidanza IIi | Psychologist | 6351 Main St, Zachary, LA 70791-4038 | 2005-06-14 |
| 1700365731 | Ashley Lee | Nurse Practitioner | 6351 Main St, Zachary, LA 70791-4038 | 2018-08-09 |
| 1508360777 | Lisa Broadnax | Counselor | 6351 Main St, Zachary, LA 70791-4038 | 2018-03-21 |
| 1982088175 | Shantelle Jacobs | Counselor | 6351 Main St, Zachary, LA 70791-4038 | 2015-07-17 |
| 1497143663 | Kenya Lavergne | Social Worker | 6351 Main St, Zachary, LA 70791-4038 | 2014-12-22 |
| 1225374481 | Khuong Nguyen Cheuk | Dentist | 6351 Main St, Zachary, LA 70791-4038 | 2012-12-17 |
| 1245582626 | Sarah Smith | Dental Hygienist | 6351 Main St, Zachary, LA 70791-4038 | 2012-10-09 |
| 1376866848 | Keith Westerfield | Psychologist | 6351 Main St, Zachary, LA 70791-4038 | 2010-03-11 |
| 1538398730 | Southeast Community Health Systems | Clinic/Center | 6351 Main St, Zachary, LA 70791-4038 | 2009-07-08 |
| 1831245844 | Felicia Melody Smith | Social Worker | 6351 Main St, Zachary, LA 70791-4038 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| 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 |
|---|---|---|---|---|
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| 1609474683 | Katie Bilello | Dietitian, Registered | 142 Rue Marguerite Ste B, Thibodaux, LA 70301-6708 | 2020-10-13 |
| 1649877135 | Hope S Gardner | Dietitian, Registered | 1500 Elderberry Loop, Mandeville, LA 70448-7095 | 2020-10-07 |
| 1861008757 | Kendra R Lafountain | Dietitian, Registered | 5732 North Dr, Alexandria, LA 71301-2542 | 2020-09-16 |
| 1932715802 | Rachel Boogaerts Hanes | Dietitian, Registered | 1910 Knowles Dr, Ruston, LA 71270-2615 | 2020-09-16 |
| 1871108993 | Verdin Enterprises, LLC | Dietitian, Registered | 164 Pattontown Road, Homer, LA 71048 | 2020-09-15 |
| 1538774203 | Tammi Michele Verdin | Dietitian, Registered | 164 Patten Town Road, Lisbon, LA 71048 | 2020-09-10 |
| 1386258267 | Amanda Marie Gibson | Dietitian, Registered | 204 Holiday Dr, Houma, LA 70364-2644 | 2020-09-08 |
| 1083228951 | Julia Palmisano Porche | Dietitian, Registered | 218 Exeter Run, Houma, LA 70360-8060 | 2020-09-08 |
| 1528672235 | Callie Champagne | Dietitian, Registered | 3434 Highway 1, Raceland, LA 70394-3424 | 2020-09-01 |
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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.