WEST JEFFERSON PHYSICIAN SERVICES


Address: 1121 Medical Center Blvd., West Jefferson Fitness Center, Marrero, LA 70072
Phone: 5043480055

WEST JEFFERSON PHYSICIAN SERVICES (NPI# 1780015784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780015784
Entity Type Organization
Organization Name WEST JEFFERSON PHYSICIAN SERVICES
Other Organization Name WEST JEFFERSON DIABETES PREVENTION PROGRAM
Practice Address 1121 Medical Center Blvd.
West Jefferson Fitness Center
Marrero
LA 70072
Mailing Address 1101 Medical Center Blvd.
Attn: Heidi Gwinn
Marrero
LA 70072
Practice Telephone 5043480055
Practice Fax Number 5043474267
Mailing Telephone 5043491297
Mailing Fax Number 5043491146
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Authorized Official Name MRS. ANGELA GREENER (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Telephone 5043496021
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133N00000X Nutritionist Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1942545 05

Other Provider/Organization Names

Other Name Type Code
West Jefferson Diabetes Prevention Program Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831266162 West Jefferson Physician Services Family Medicine 5140 Church St, Lafitte, LA 70067-5256 2006-11-30
1669549283 West Jefferson Physician Services Pediatrics 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 2006-11-29
1790850774 West Jefferson Physician Services Family Medicine 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 2006-11-22
1053486043 West Jefferson Physician Services Internal Medicine 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072-3151 2006-11-22
1114092194 West Jefferson Physician Services Internal Medicine 2845 Manhattan Blvd, Harvey, LA 70058-2987 2006-11-22
1457426439 West Jefferson Physician Services Family Medicine 175 Hector Ave, Gretna, LA 70056-2590 2006-11-22

Office Location

Street Address 1121 MEDICAL CENTER BLVD.
WEST JEFFERSON FITNESS CENTER
City MARRERO
State LA
Zip Code 70072

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780232579 Brittany Inez Young Technician 4465 Bay View Drive, Marrero, LA 70072 2019-08-27
1356829774 Zachary Allen Runge Kleinpeter Physician Assistant 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 2018-07-30
1689172611 Derron White Specialist 2324 Barataria Blvd, Marrero, LA 70072 2018-01-24
1477064616 Bone & Joint, LLC Physical Therapy Physical Therapist 4633 Wichers Dr., Marrero, LA 70072 2017-10-16
1477077410 Darlene Jenkins Case Manager/Care Coordinator 7606 Westbank Expy Ste B, Marrero, LA 70072 2017-08-01
1871017186 Tyra K Haynes Non-emergency Medical Transport (VAN) 536 Westwood Drive, Marrero, LA 70072 2017-07-28
1265961536 Danika Kayelle Frank Social Worker 6189 Boutte St, Marrero, LA 70072 2017-06-08
1528596673 Monica Cheree Mayberry Counselor 931 Westwood Dr., Marrero, LA 70072 2017-06-01
1710419197 Sharla Black Counselor 2069 Paine Drive, Marrero, LA 70072 2017-04-03
1699207043 Tango Austin Counselor 2573 Foliage Drive, Marrero, LA 70072 2017-04-03
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Taxonomy Information

Taxonomy Code 133N00000X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist

Taxonomy Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962670414 Dasia Julisa Canales Nutritionist 1855 Ames Blvd, Marrero, LA 70072-3429 2008-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003423625 Kenrese Theresa Carter Nutritionist 146 Bell Richard Ave, Fort Polk, LA 71459-3513 2020-09-28
1730650755 Jessica Michelle Stark Nutritionist 118 Temecula Dr, West Monroe, LA 71292-0476 2018-12-17
1790299782 Jessica Florence Blanchard Nutritionist 120 S Cortez St, New Orleans, LA 70119-6119 2017-11-29
1518476811 Intuit Nutrition & Wellness Nutritionist 3515 Dumaine St Apt 7, New Orleans, LA 70119-3844 2017-09-29
1508388174 Chanel Marie Chagnard Nutritionist 9531 Jefferson Hwy, New Orleans, LA 70123-2507 2017-07-14
1477965028 Caitlyn L Keating Nutritionist 8490 Picardy Avenue, Ste 600-d, Baton Rouge, LA 70809 2014-05-29
1235572900 Barbara Cerniauskas Nutritionist 628 N 4th St # 4, Baton Rouge, LA 70802-5342 2013-04-12
1184967333 Heidi Hensgens Nutritionist 127 Myrtle Dr, A, Crowley, LA 70526-0973 2013-04-05
1255638698 Sandra Booker Nutritionist 7300 Beauvoir Ct, New Orleans, LA 70128-2510 2011-02-22
1134423593 Balanced Health and Nutrition, LLC Nutritionist 5513 Trenton Ave, Baton Rouge, LA 70808-3342 2010-12-28
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Competitor

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City MARRERO
Zip Code 70072

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Dataset Information

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.

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