DESIRAE NICOLE NUTRITION LLC
NPI 1588304182
Dietitian, Registered in Monroe, LA

Active since March 31, 2022
1500 N 19TH ST, MONROE, LA 71201(318) 200-0491 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desirae Nicole Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRAE NICOLE NUTRITION LLC (NPI 1588304182) is a healthcare organization registered as a dietitian, registered in Monroe, Louisiana and active in the NPI registry since March 2022. The organization lists Desirae Bedgood, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1588304182
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameDESIRAE NICOLE NUTRITION LLC
Location Address1500 N 19TH STMonroe, LA 71201-4942
Mailing Address1500 N 19th StMonroe, LA 71201-4942
Organization SubpartNo
Authorized OfficialDesirae BedgoodRegistered Dietitian · (318) 200-0491
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1588304182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1500 N 19TH ST, Monroe, LA 71201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1500 N 19TH ST
MONROE, LA 71201
Non-emergency Medical Transport (VAN)
1500 N 19TH ST
MONROE, LA 71201
Clinic/Center
1500 N 19TH ST
MONROE, LA 71201
Counselor (Professional)
1500 N 19TH ST
MONROE, LA 71201
Community/Behavioral Health
1500 N 19TH ST
MONROE, LA 71201
Behavior Analyst
1500 N 19TH ST
MONROE, LA 71201
Dietitian, Registered
1500 N 19TH ST
MONROE, LA 71201
Counselor (Mental Health)
1500 N 19TH ST
MONROE, LA 71201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirae Nicole Nutrition LLC's NPI number?

The NPI number for Desirae Nicole Nutrition LLC is 1588304182. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Desirae Nicole Nutrition LLC located?

Desirae Nicole Nutrition LLC is located at 1500 N 19th St, Monroe, LA 71201. The listed phone number is (318) 200-0491.

What is Desirae Nicole Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Desirae Nicole Nutrition LLC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.