Healthcare Provider Details

I. General information

NPI: 1972429504
Provider Name (Legal Business Name): CALI ALEXIS NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 GAUSE BLVD STE 304 #211
SLIDELL LA
70458
US

IV. Provider business mailing address

1612 VERSAILLES BUSINESS PKWY APT 1408
COVINGTON LA
70433-6193
US

V. Phone/Fax

Practice location:
  • Phone: 985-590-8464
  • Fax:
Mailing address:
  • Phone: 985-590-8464
  • 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:
Title or Position:
Credential:
Phone: