Healthcare Provider Details

I. General information

NPI: 1386510782
Provider Name (Legal Business Name): DIETITIAN DIMENSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N CAUSEWAY BLVD STE 15
MANDEVILLE LA
70471-3259
US

IV. Provider business mailing address

214 MACK LN
MADISONVILLE LA
70447-9547
US

V. Phone/Fax

Practice location:
  • Phone: 985-264-8334
  • Fax:
Mailing address:
  • Phone: 985-264-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: VESTA JOHNSON BATCHELDER
Title or Position: REGISTERED DIETITIAN
Credential:
Phone: 985-264-8334