Holly Rae St.Lawrence, NTP, CPT, CFG

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

0800 Issued in WA

Practice address

566 Horn LN
Eugene, OR 97404-2961

Phone

(541) 636-3856

NPI assigned

Mar 14, 2011

Last updated

Mar 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1093013161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 HORN LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042961",
            "telephone_number": "541-636-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 HORN LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042961",
            "telephone_number": "541-636-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.LAWRENCE",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "credential": "NTP, CPT, CFG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "0800",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "1344664",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "656619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Squier, PT, DPT
• Thomas Charles Sroka, MD
• Jamie St Cyr
• St. Rita Psychiatry LLC (St. Rita Psychiatry)
• Donald Michael St.Clair, L.M.T.
• Aubrey Staat
• Alanna Machelle Stadstad, PHARMD, MBA, BA
• Tracy J Stafford, MA QMHP
• Valerie Stafford
• Courtney Keiko Stalmann

• Metabolic Nutrition Registered Dietitian in Eugene, OR
• Providers in Eugene, OR by specialty
• Metabolic Nutrition Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.