Individual provider Active NPI

Laura Tengelsen Crist, RD LDN

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1083650022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
PX2556 Issued in MD
Practice address
4940 Eastern Avenue
Johns Hopkins Bayview Medical Center Clinical Nutrition
Baltimore, MD 21224-2780
Phone
(410) 550-1549
Fax
(410) 550-0650
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PX2556 MD Primary

Addresses

Primary practice location

4940 Eastern Avenue
Johns Hopkins Bayview Medical Center Clinical Nutrition
Baltimore, MD 21224-2780

Mailing address

6849 Old Waterloo Rd
Apt No 1433
Elkridge, MD 21075-7142
Phone (240) 273-8031

Other names 1

  • Miss Laura Tengelsen Former name

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

State licenses

LicenseStateTypeSpecialty
PX2556MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083650022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 OLD WATERLOO RD",
            "address_2": "APT NO 1433",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757142",
            "telephone_number": "240-273-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "address_2": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242780",
            "telephone_number": "410-550-1549",
            "fax_number": "410-550-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "LAURA",
        "middle_name": "TENGELSEN",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "PX2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TENGELSEN",
            "prefix": "MISS",
            "credential": "RD LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.