WEST JEFFERSON PHYSICIAN SERVICES NPI 1780015784

NPI Information

  • NPI: 1780015784
  • Provider Name: WEST JEFFERSON PHYSICIAN SERVICES
  • Classification: Nutritionist - 133N00000X
  • Entity Type: Organization
  • Other Name: WEST JEFFERSON DIABETES PREVENTION PROGRAM
  • Address: 1121 MEDICAL CENTER BLVD.
    WEST JEFFERSON FITNESS CENTER
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 348-0055

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NPI Details

WEST JEFFERSON PHYSICIAN SERVICES is a nutritionist in Marrero, LA. The provider is 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. WEST JEFFERSON PHYSICIAN SERVICES NPI is 1780015784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is West Jefferson Diabetes Prevention Program.

The provider's business location address is:

1121 MEDICAL CENTER BLVD.
WEST JEFFERSON FITNESS CENTER
MARRERO, LA
ZIP 70072
Phone: (504) 348-0055
Fax: (504) 347-4267

The provider's authorized official is Angela Greener .
The authorized official title is Chief Administrative Officer and has the following contact phone number (504) 349-6021.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 12/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133N00000XNutritionistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11942545MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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