Laura Juliane Isele, M.A., R.D., CD-N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006301-1 Issued in NY

Practice address

521 Boices Lane Taconic Ddso
Kingston, NY 12401

Phone

(845) 382-1899

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Kingston, NY
  • NPI 1053445783
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1306304860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BOICES LANE TACONIC DDSO",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-382-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BOICES LANE TACONIC DDSO",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-382-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISELE",
        "first_name": "LAURA",
        "middle_name": "JULIANE",
        "credential": "M.A., R.D., CD-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006301-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Health
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• Ruxandra V Iorgu, MD
• Lee Isabell, DO
• Danielle Isenburg, DO
• Island Family Chiropractic Wellness PLLC
• Sarin Itty, DO
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
• Matiullah Abdul Jabbar, MD

• Registered Dietitian in Kingston, NY
• Providers in Kingston, 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 Mar 4, 2019; 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.