Individual provider Active NPI

Sophie Rose Lauver, MS RD LDN

  • Registered Dietitian
  • Idlewylde, MD
National Provider Identifier
1083255566
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4549 Issued in MD
Practice address
1210 Regester Ave
Idlewylde, MD 21239-1612
Phone
(917) 863-0025
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4549 MD Primary

Addresses

Primary practice location

1210 Regester Ave
Idlewylde, MD 21239-1612

Mailing address

1210 Regester Ave
Idlewylde, MD 21239-1612
Phone (917) 863-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230911000991 MD Practitioner - Registered Dietitian Or Nutrition Professional 1456742832 Practice locations: Idlewylde, MD
I20240813001126 NC Practitioner - Registered Dietitian Or Nutrition Professional 1456742832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeroflow Connect LLCGroup PAC ID 0143765008, 4 clinicians

Practice addresses (Care Compare)

500 Ridgefield CT
Asheville, NC 28806-2262
Phone 88834517804504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Aeroflow Connect LLC Dietitian, Registered CurrentSince Jul 22, 2024 Accepting new patients
Plant-Based Perspective Dietitian, Registered CurrentSince May 26, 2024 Accepting new patients

Locations

500 Ridgefield Ct
Asheville, NC 28806

3165 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 785-1091

310 Business Pkwy
Ste D
Greer, SC 29651
Phone (828) 631-7724

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1083255566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 REGESTER AVE",
            "city": "IDLEWYLDE",
            "state": "MD",
            "postal_code": "212391612",
            "telephone_number": "917-863-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 REGESTER AVE",
            "city": "IDLEWYLDE",
            "state": "MD",
            "postal_code": "212391612",
            "telephone_number": "917-863-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUVER",
        "first_name": "SOPHIE",
        "middle_name": "ROSE",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idlewylde, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.