MEDICARE: TOSHA R. KOWAL LDN, RD, CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	894699	LA
2	133VN1004X	Pediatric Nutrition Registered Dietitian	1769	LA

General Provider Information

NPI Number	:	1437841004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOSHA R. KOWAL LDN, RD, CDCES

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	8200 CONSTANTIN BLVD FL 4
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3481
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-765-1733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	06/01/2026

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