Individual provider Active NPI

Laura Mary Maniff, RD

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1336891068
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005878 Issued in NC
Practice address
1520 Suday Drive
Ste 309
Raleigh, NC 27607-1000
Phone
(919) 354-7077
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L005878 NC Primary

Addresses

Primary practice location

1520 Suday Drive
Ste 309
Raleigh, NC 27607-1000

Mailing address

10208 Cerny St Ste 301
Raleigh, NC 27617-1000
Phone (919) 354-7077

Other identifiers 2

IdentifierTypeStateIssuer
L005878OtherNCLICENSED DIETITIAN/NUTRITIONIST NC
86148003OtherCOMMISSION OF DIETETIC REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@lifestylemedicalcenters.com Direct

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

LicenseStateTypeSpecialty
L005878NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children's and Multispecialty Clinic, PA PastSince Feb 1, 2022 Accepting new patients
Amm Healthcare, PA PastSince Feb 1, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1336891068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171000",
            "telephone_number": "919-354-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUDAY DRIVE",
            "address_2": "STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276071000",
            "telephone_number": "919-354-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIFF",
        "first_name": "LAURA",
        "middle_name": "MARY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN/NUTRITIONIST NC",
            "identifier": "L005878",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION OF DIETETIC REGISTRATION",
            "identifier": "86148003",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@lifestylemedicalcenters.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10208 Cerny St Ste 301",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276171000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.