Individual provider Active NPI

Laura Lynne Laine, R.D., L.D

  • Pediatric Nutrition Registered Dietitian
  • Sugar Land, TX
National Provider Identifier
1033433693
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
DT00597 Issued in TX
Practice address
2511 Stephens Grant Dr
Sugar Land
Sugar Land, TX 77479-2245
Phone
(281) 980-2650
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT00597 TX
Pediatric Nutrition Registered Dietitian 133VN1004X DT00597 TX Primary

Addresses

Primary practice location

2511 Stephens Grant Dr
Sugar Land
Sugar Land, TX 77479-2245

Mailing address

2511 Stephens Grant Dr
Sugar Land
Sugar Land, TX 77479-2245
Phone (281) 980-2650

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT00597TXMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1033433693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 STEPHENS GRANT DR",
            "address_2": "SUGAR LAND",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792245",
            "telephone_number": "281-980-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 STEPHENS GRANT DR",
            "address_2": "SUGAR LAND",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792245",
            "telephone_number": "281-980-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINE",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT00597",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT00597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.