Active NPI
Lawrence Baynard Hubbell, M.S., R.D., C.D.N.
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1194052787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 48 006816
- Practice address
- 1315 Loomis St
Lifespire Clinic Services
Bronx, NY 10461-2310 - Phone
- (718) 892-7801
- NPI assigned
- Nov 3, 2009
- Sex
- Male
- 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 | 48 006816 | NY | Primary |
Addresses
Primary practice location
1315 Loomis St
Lifespire Clinic Services
Bronx, NY 10461-2310
Mailing address
301 W 45TH St Apt 18E
New York, NY 10036-3838
Phone (917) 280-6613
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48 006816 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients | |
| Empress Ambulance Service LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1194052787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W 45TH ST APT 18E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100363838",
"telephone_number": "917-280-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 LOOMIS ST",
"address_2": "LIFESPIRE CLINIC SERVICES",
"city": "BRONX",
"state": "NY",
"postal_code": "104612310",
"telephone_number": "718-892-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBELL",
"first_name": "LAWRENCE",
"middle_name": "BAYNARD",
"name_prefix": "Mr.",
"credential": "M.S., R.D., C.D.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-03",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "48 006816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.