Active NPI
Lauren Iacobucci
- Registered Dietitian
- Highland Village, TX
National Provider Identifier
1225503402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT91934
- Practice address
- 916 Lochmoor LN
Highland Village, TX 75077-3119 - Phone
- (401) 473-4581
- NPI assigned
- Oct 3, 2018
- Last updated
- Apr 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT91934 | TX | Primary |
| Registered Dietitian | 133V00000X | LDN01331 | RI |
Addresses
Primary practice location
916 Lochmoor LN
Highland Village, TX 75077-3119
Mailing address
1538 Glenmore Dr
Lewisville, TX 75077-2417
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN01331 | RI | MD | Registered Dietitian |
| DT91934 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
593 Eddy St
Providence, RI 02903
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Organizations & group practices 3
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.
-
dba RIH Specialty Clinical Providers
- Neurology Physician
- Providence, RI
- NPI 1902902364
Dietitian, Registered
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1225503402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 GLENMORE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 LOCHMOOR LN",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773119",
"telephone_number": "401-473-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOBUCCI",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT91934",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN01331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Village, TX
- Home Care Assistance of Denton Cty, TX, LLC (Home Care Assistance)
- Joshua K Howland, PHARM.D
- Bradley Hrabik, RPH
- Syeda T Hussaini
- HV Family Medicine, PLLC
- Integris Neuro Group LLC
- Integris Neuro LLC
- IV & Home Health Services of Texas (Pharmacy Specialists)
- J and M Worldwide, LLC
- Katina Preonas Jaeger, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.