Lauren Davidheiser, MS, RD, LDN, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006859 Issued in PA

Practice address

1500 Chestnut St # 1652
Philadelphia, PA 19102-2737

Phone

(484) 632-8420

NPI assigned

Aug 31, 2020

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1235743048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST # 1652",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST # 1652",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022737",
            "telephone_number": "484-632-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDHEISER",
        "first_name": "LAUREN",
        "credential": "MS, RD, LDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-12-13",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006859",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-157318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martine David, M.D,
• Michael Zdenek David, M. D.
• Shweta Pravinkumar David
• Theresa R David, CRNP
• Davideja LLC (Your Drug Store)
• Shakera Joy Davidheiser, LCSW
• Anna Davidian, MD
• Gail Davidoff, LCSW
• Michelle Davidoff
• Virginia Davidov, LCSW

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.