Lacy Davidson, Ms, RDN, LD, Ryt, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

934 Issued in WV

Legal business name

LACY DAVIDSON, MS, RDN, LD, RYT, LLC

Practice address

162 Honeysuckle LN
Huntington, WV 25701-4726

Phone

(304) 633-0675

Fax

(304) 405-2142

NPI assigned

Jan 25, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lacy Michelle Davidson, MS,RDN,LD,CDE,RYT

Title

Owner

Phone

(304) 633-0675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1164889952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 HONEYSUCKLE LN",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014726",
            "telephone_number": "304-633-0675",
            "fax_number": "304-405-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HONEYSUCKLE LN",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014726",
            "telephone_number": "304-633-0675",
            "fax_number": "304-405-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY DAVIDSON, MS, RDN, LD, RYT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-633-0675",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,RDN,LD,CDE,RYT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid Kurtz, MD
• Walter Kusiak
• Donna Kay Lacey
• Phillip Limbaugh Lackey, MD
• Sarah Lackey, DO
• Blake Michael Lacy
• Karlie S Lafauci
• Savannah Lafferty
• Subrat K Lahiry, MD
• Barbara Lahr

• Registered Dietitian in Huntington, WV
• Providers in Huntington, WV by specialty
• Registered Dietitian in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.