Individual provider Active NPI

Lauren M Lavecchia, RD

  • Registered Dietitian
  • North Charleston, SC
National Provider Identifier
1306205679
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1404 Issued in SC
Practice address
2500 Elms Center Rd
North Charleston, SC 29406-9844
Phone
(843) 572-7727
Fax
(843) 569-5881
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1404 SC
Registered Dietitian 133V00000X 1404 SC Primary

Addresses

Primary practice location

2500 Elms Center Rd
North Charleston, SC 29406-9844

Mailing address

PO Box 118008
North Charleston, SC 29423-8008
Phone (843) 572-7727

Other names 1

  • Lauren Purdy Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1404SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1306205679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118008",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294238008",
            "telephone_number": "843-572-7727",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ELMS CENTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-572-7727",
            "fax_number": "843-569-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVECCHIA",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "SC",
            "license": "1404",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PURDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.