Provider Demographics
NPI:1861734071
Name:MCALLISTER, REBEKAH D'ANGELO (MA, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:D'ANGELO
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:MA, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 N GENERAL PERSHING ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-1727
Mailing Address - Country:US
Mailing Address - Phone:985-634-0722
Mailing Address - Fax:985-345-2211
Practice Address - Street 1:112 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-7100
Practice Address - Country:US
Practice Address - Phone:985-651-2342
Practice Address - Fax:888-573-1919
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1296133NN1002X, 133VN1006X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic