Provider Demographics
NPI:1710789508
Name:MCNEILL, SUMMER (RD, LDN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 LAUREL ST APT C
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5766
Mailing Address - Country:US
Mailing Address - Phone:910-224-6168
Mailing Address - Fax:
Practice Address - Street 1:6050 LAUREL ST APT C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5766
Practice Address - Country:US
Practice Address - Phone:910-224-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3868133V00000X
86403548133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered