Provider Demographics
NPI:1588004345
Name:STOTT, EMILY A (RD)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:STOTT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:BRINKMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7373 PERKINS RD
Mailing Address - Street 2:BATON ROUGE CLINIC, AMC
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4326
Mailing Address - Country:US
Mailing Address - Phone:225-246-9790
Mailing Address - Fax:225-246-9105
Practice Address - Street 1:7373 PERKINS RD
Practice Address - Street 2:BATON ROUGE CLINIC, AMC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4326
Practice Address - Country:US
Practice Address - Phone:225-246-9790
Practice Address - Fax:225-246-9105
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD1579133V00000X
LA2620133V00000X
MS133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered