Active NPI
Laurie Ann McGuire, RD
- Registered Dietitian
- Cleveland, TN
National Provider Identifier
1245632595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN572
- Practice address
- 2555 Georgetown Rd NW
Cleveland, TN 37311-3562 - Phone
- (423) 339-1415
- Fax
- (423) 339-1715
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- 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 | LDN572 | TN | Primary |
Addresses
Primary practice location
2555 Georgetown Rd NW
Cleveland, TN 37311-3562
Mailing address
8948 Long Savannah Rd
Ooltewah, TN 37363-5702
Phone (423) 339-1415
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 |
|---|---|---|---|
| LDN572 | TN | MD | Registered Dietitian |
| 572 | TN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1245632595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8948 LONG SAVANNAH RD",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373635702",
"telephone_number": "423-339-1415",
"fax_number": "423-339-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 GEORGETOWN RD NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113562",
"telephone_number": "423-339-1415",
"fax_number": "423-339-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.