Lauren Kate Birk, R.D., L.D.N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001015297 Issued in IL

Practice address

812 North Logan Avenue
Provena United Samaritans Medical - Dietary Department
Danville, IL 61832

Phone

(217) 443-5000

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sodexo Operations LLC

  • Registered Dietitian
  • Morrisville, PA
  • NPI 1528034436

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1104107358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W COLUMBIA AVE APT 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618208649",
            "telephone_number": "801-717-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NORTH LOGAN AVENUE",
            "address_2": "PROVENA UNITED SAMARITANS MEDICAL - DIETARY DEPARTMENT",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-443-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "LAUREN",
        "middle_name": "KATE",
        "credential": "R.D., L.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "001015297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhirom Buranakul MD LLC
• Ocean L Biggers-Richardson, BA, MHP
• Triena Denise Billips, TRIENA
• Brandi Binder, MSW
• Aditya Birbal-Jain, MD
• Camilla Black
• Shennae Boidean Blackwood, PHARM.D.
• Rebecca L Blair, CRNA
• James J. Blatzer, P.A.-C.
• Maria Blaze, PHARMD

• Registered Dietitian in Danville, IL
• Providers in Danville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.