Stephanie B Kobetz, RDN, LDN | |
105 Branch Cir, Lafayette, LA 70508-6323 | |
(337) 501-5474 | |
Not Available |
Full Name | Stephanie B Kobetz |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 105 Branch Cir, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154886018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2900 (Louisiana) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Stephanie B Kobetz, RDN, LDN 105 Branch Cir, Lafayette, LA 70508-6323 Ph: (337) 501-5474 | Stephanie B Kobetz, RDN, LDN 105 Branch Cir, Lafayette, LA 70508-6323 Ph: (337) 501-5474 |
Alicia Ruddock Rourk, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 | |
Miss Carmen Alexis Miller, MS, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508 Phone: 337-470-7870 | |
Desiree Kern, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Rue Fontaine, Lafayette, LA 70508 Phone: 337-269-9777 | |
C Taylor Nutrition Therapy Dietitian Medicare: Medicare Enrolled Practice Location: 211 Bon Mange Cir, Lafayette, LA 70506 Phone: 337-739-9456 | |
Mrs. Jessica Person Eckert, MPH, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 209 Marquette Dr, Lafayette, LA 70503 Phone: 337-296-2640 | |
Mrs. Shellie Johnson Dore, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 | |
Mrs. Amy Staggs, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Farrel Rd Ste 101, Lafayette, LA 70508 Phone: 337-534-1740 Fax: 337-534-0376 |