Active NPI
Laura Anne Merrifield, RD, LD
- Registered Dietitian
- Fort Madison, IA
National Provider Identifier
1356671069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001898
- Practice address
- 2606 Avenue L
Fort Madison, IA 52627-3839 - Phone
- (319) 372-5841
- Fax
- (319) 372-1567
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001898 | IA | Primary |
Addresses
Primary practice location
2606 Avenue L
Fort Madison, IA 52627-3839
Mailing address
2606 Avenue L
Fort Madison, IA 52627-3839
Phone (319) 372-5841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001898 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1356671069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 AVENUE L",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526273839",
"telephone_number": "319-372-5841",
"fax_number": "319-372-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 AVENUE L",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526273839",
"telephone_number": "319-372-5841",
"fax_number": "319-372-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIFIELD",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "001898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.