Active NPI
Luanne Petrie, R.D.
- Registered Dietitian
- Colts Neck, NJ
National Provider Identifier
1013971878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 610878
- Practice address
- 29 E Larchmont Dr
Colts Neck, NJ 07722-1181 - Phone
- (908) 692-4140
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | 610878 | IL | Primary |
Addresses
Primary practice location
29 E Larchmont Dr
Colts Neck, NJ 07722-1181
Mailing address
29 E Larchmont Dr
Colts Neck, NJ 07722-1181
Phone (908) 692-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610878 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monmouth Medical Center Faculty Practice Plan, Inc. | Single Specialty | Past | Accepting new patients |
| Nutritiom First | Single Specialty | Past | Accepting new patients |
| Barnabas Health Medical Group, PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Long Branch, NJ
- NPI 1023064441
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1013971878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E LARCHMONT DR",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221181",
"telephone_number": "908-692-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E LARCHMONT DR",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221181",
"telephone_number": "908-692-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "LUANNE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "610878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colts Neck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.