Active NPI
Carlie Saint Laurent
- Registered Dietitian
- Bala Cynwyd, PA
National Provider Identifier
1063981785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006652
- Practice address
- 150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725 - Phone
- (800) 203-8657
- Fax
- (800) 258-1426
- NPI assigned
- Nov 26, 2018
- Last updated
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | DN006652 | PA | Primary |
Addresses
Primary practice location
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Mailing address
1350 Edgmont Ave
Ste 1500
Chester, PA 19013-3962
Phone (610) 619-8290
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crave With Carlie | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1063981785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 EDGMONT AVE",
"address_2": "STE 1500",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133962",
"telephone_number": "610-619-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MONUMENT RD STE 207",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041725",
"telephone_number": "800-203-8657",
"fax_number": "800-258-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT LAURENT",
"first_name": "CARLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.