WEST JEFFERSON DIABETES PREVENTION PROGRAM
NPI 1780015784
Nutritionist in Marrero, LA

Active since December 02, 2013
1121 MEDICAL CENTER BLVD., WEST JEFFERSON FITNESS CENTER, MARRERO, LA 70072(504) 348-0055(504) 347-4267 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Jefferson Diabetes Prevention Program NPPES

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

WEST JEFFERSON DIABETES PREVENTION PROGRAM (NPI 1780015784) is a healthcare organization registered as a nutritionist in Marrero, Louisiana and active in the NPI registry since December 2013. The organization lists Angela Greener, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1780015784
Entity TypeOrganization
Primary Taxonomy133N00000X
Legal Business NameWEST JEFFERSON PHYSICIAN SERVICES
Location Address1121 MEDICAL CENTER BLVD., WEST JEFFERSON FITNESS CENTERMarrero, LA 70072
Mailing Address1101 Medical Center Blvd., Attn: Heidi GwinnMarrero, LA 70072 · (504) 349-1297 · Fax (504) 349-1146
Fax(504) 347-4267
Organization SubpartNo
Authorized OfficialAngela GreenerChief Administrative Officer · (504) 349-6021
Enumeration DateDecember 2, 2013
NPI 1780015784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
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.
1121 MEDICAL CENTER BLVD., Marrero, LA 70072

Other Names 1

Other NameWest Jefferson Diabetes Prevention Program

Other Identifiers 1

Medicaid1942545LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 West Jefferson Physician Services's NPI number?

The NPI number for West Jefferson Physician Services is 1780015784. It was assigned to this organization in the NPPES registry on December 2, 2013. The provider is also known as West Jefferson Diabetes Prevention Program.

Where is West Jefferson Physician Services located?

West Jefferson Physician Services is located at 1121 Medical Center Blvd. West Jefferson Fitness Center, Marrero, LA 70072. The listed phone number is (504) 348-0055.

What is West Jefferson Physician Services's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for West Jefferson Physician Services was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.