Eat Live Nutrition, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007596-1 Issued in NY

Legal business name

EAT LIVE NUTRITION, PLLC

Practice address

1026 Union Rd
West Seneca, NY 14224-3445

Phone

(716) 217-1004

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Emily Laurin, MS, RD, CDNNPI 1811252604

Title

Registered Dietitian

Phone

(585) 703-2739

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Laurin, RD

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1811252604
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1265989776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 OEHMAN BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251608",
            "telephone_number": "585-703-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243445",
            "telephone_number": "716-217-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT LIVE NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "LAURIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "585-703-2739",
        "authorized_official_credential": "MS, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007596-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811252604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400201451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Dunz, N.P
• David John Durante, MD
• Edward A Dwyer, DDS
• Sarah Dziewa, MA
• Jilynn Eagen, PH.D.
• Molly Eberhard, OTR/L
• John Patrick Eberz, D.D.S.
• Eckerd Corporation
• Eckerd Corporation
• Linda Ann Eckert, LCSWR

• Registered Dietitian in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.