Laura Marie Selby, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2015021390 Issued in MO

Practice address

37 Meyer LN
Bloomsdale, MO 63627-9138

Phone

(573) 483-3734

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ste Genevieve County Memorial Hospital

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1801817416

  MO

  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  • Surgery Physician
  • Ste Genevieve, MO
  • NPI 1619026580

  MO

  Medicare reassignment
• Ste Genevieve County Memorial Hospital

  • Clinic/Center
  • Ste Genevieve, MO
  • NPI 1518651504
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295847606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARKVIEW DR",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636279136",
            "telephone_number": "573-702-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEYER LN",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636279138",
            "telephone_number": "573-483-3734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomsdale",
            "state": "MO",
            "postal_code": "636279136",
            "country_code": "US",
            "telephone_number": "573-702-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELBY",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004289",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2015021390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "164004289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill McCalister, PHARM.D.
• Jodi M. Naeger, M.A.,CCC/SLP
• Nest Therapy Services LLC
• Regine Politte, FNP-BC
• Morgan Leigh Ritter
• Ste Genevieve County Memorial Hospital
• Ste Genevieve County Memorial Hospital
• Ste Genevieve County Memorial Hospital
• Ste Genevieve County Memorial Hospital
• Ste Genevieve County Memorial Hospital

• All providers in Bloomsdale, MO
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.