Active NPI
Laurie Nicole McBride, RD, LD
- Registered Dietitian
- Post Falls, ID
National Provider Identifier
1093178394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-770
- Practice address
- 750 N Syringa St Ste 205
Post Falls, ID 83854-5275 - Phone
- (208) 262-0945
- Fax
- (208) 415-0150
- NPI assigned
- Apr 4, 2016
- 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 | D-770 | ID | Primary |
Addresses
Primary practice location
750 N Syringa St Ste 205
Post Falls, ID 83854-5275
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093178394 | Medicaid | ID |
Other names 1
- Laurie Nicole Byrne
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 |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- laurie.mcbride@168064768409604.direct.elationemr.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1093178394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2300",
"fax_number": "208-262-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N SYRINGA ST STE 205",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545275",
"telephone_number": "208-262-0945",
"fax_number": "208-415-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "LAURIE",
"middle_name": "NICOLE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093178394",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "BYRNE",
"middle_name": "NICOLE",
"credential": "RD, LD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.