Active NPI
Laura A Terrazas, RD
- Registered Dietitian
- Soquel, CA
National Provider Identifier
1053807974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86007605
- Practice address
- 3702 Valera Dr
Soquel, CA 95073-2323 - Phone
- (831) 334-3938
- NPI assigned
- Jul 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86007605 | CA | Primary |
Addresses
Primary practice location
3702 Valera Dr
Soquel, CA 95073-2323
Mailing address
3702 Valera Dr
Soquel, CA 95073-2323
Phone (831) 334-3938
Other names 1
- Laura Terrazas-Burbulys
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86007605 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1053807974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 VALERA DR",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732323",
"telephone_number": "831-334-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 VALERA DR",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732323",
"telephone_number": "831-334-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRAZAS",
"first_name": "LAURA",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86007605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "TERRAZAS-BURBULYS",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.