Laura Nyquist, Rd, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

14277 Issued in IL

Legal business name

LAURA NYQUIST, RD, LLC

Practice address

11479 S Pine Dr Ste 15
Parker, CO 80134-7308

Phone

(740) 473-6694

Fax

(877) 573-6695

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Laura Nyquist, RD, CLTNPI 1174847552

Title

Registered Dietitian

Phone

(740) 473-6694

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Lynn Nyquist, R.D.

  • Registered Dietitian
  • Springboro, OH
  • NPI 1174847552

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1063732287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 WILLOWBEND LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387122",
            "telephone_number": "303-805-7801",
            "fax_number": "877-573-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 S PINE DR STE 15",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347308",
            "telephone_number": "740-473-6694",
            "fax_number": "877-573-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA NYQUIST, RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "NYQUIST",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "740-473-6694",
        "authorized_official_credential": "RD, CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "14277",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "14277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "COA101925",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "COA100471",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1174847552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063732287",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Lou Larkin
• Benjamin Larrabee
• Ashley Larsen, LCSW
• Brian Daniel Larson, LPC
• Dylan Lato, RBT
• Koren Lavi, PT, DPT
• Michael James Lawrenson, DC
• Zachary James Lawton
• Eric Harvey Leder, M.D.
• Julia Lederer, MS, PA-C

• Registered Dietitian in Parker, CO
• Providers in Parker, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.