Individual provider Active NPI

Laurie Gary Lewis, MS, RD, LDN

  • Registered Dietitian
  • Pineville, LA
National Provider Identifier
1194232348
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1948 Issued in LA
Practice address
151 Sandifer LN
Pineville, LA 71360-5971
Phone
(318) 443-7131
Fax
(318) 442-2920
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1948 LA Primary

Addresses

Primary practice location

151 Sandifer LN
Pineville, LA 71360-5971

Mailing address

151 Sandifer LN
Pineville, LA 71360-5971
Phone (318) 443-7131

Other names 1

  • Mrs. Laurie Estelle Gary Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1948LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Medical Applications of Louisiana, LLC Past Accepting new patients
Bio-Medical Applications of Louisiana, LLC PastSince Sep 27, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1194232348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SANDIFER LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605971",
            "telephone_number": "318-443-7131",
            "fax_number": "318-442-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SANDIFER LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605971",
            "telephone_number": "318-443-7131",
            "fax_number": "318-442-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LAURIE",
        "middle_name": "GARY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "GARY",
            "middle_name": "ESTELLE",
            "prefix": "MRS.",
            "credential": "MS, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.