DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
NPI 1972058170
Dietitian, Registered in Shreveport, LA

Q: What is Diabetes Assessment And Management Center Of Shreveport LLC's specialty?

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

Active since August 18, 2016

1560 IRVING PL, SHREVEPORT, LA 71101(318) 212-1194(318) 212-1196 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Diabetes Assessment And Management Center Of Shreveport Llc NPPES

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

DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC (NPI 1972058170) is a healthcare organization registered as a dietitian, registered in Shreveport, Louisiana and active in the NPI registry since August 2016. The organization lists Charles C. Crenshaw, President, as its authorized official.

NPPES Registry Identity

NPI1972058170

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameDIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC

Location Address1560 IRVING PLShreveport, LA 71101-4604

Mailing Address1560 Irving PlShreveport, LA 71101-4604 · (318) 212-1194 · Fax (318) 212-1196

Phone(318) 212-1194

Fax(318) 212-1196

Organization SubpartNo

Authorized OfficialCharles C. CrenshawPresident · (318) 212-1194

Enumeration DateAugust 18, 2016

✔ NPI 1972058170 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.

1560 IRVING PL, Shreveport, LA 71101

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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 7

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

DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC

Clinic/Center

1560 IRVING PL, SUITE 501
SHREVEPORT, LA 71101

Caddo Parish (318) 212-1194

WILLIAM LEE GIBSON JR. MD

Family Medicine