Individual provider Active NPI

Lauren Paige Marshall, RDN, LD

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1386270148
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
245782 Issued in KY
Practice address
125 Trade St Ste E
Lexington, KY 40511-2616
Phone
(859) 648-2835
Fax
(859) 407-4725
NPI assigned
Mar 12, 2020
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 245782 KY Primary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 245782 KY

Addresses

Primary practice location

125 Trade St Ste E
Lexington, KY 40511-2616

Mailing address

125 Trade St Ste E
Lexington, KY 40511-2616
Phone (859) 648-2835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002690 KY Practitioner - Registered Dietitian Or Nutrition Professional 0143672881 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245782KYMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyfit Nutrition LLC Dietitian, Registered CurrentSince Nov 4, 2023 Accepting new patients

Locations

125 Trade St
Ste E
Lexington, KY 40511
Phone (859) 648-2835

373 Virginia Ave
Ste 110
Lexington, KY 40504

Organizations & group practices 1

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1386270148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TRADE ST STE E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112616",
            "telephone_number": "859-648-2835",
            "fax_number": "859-407-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TRADE ST STE E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112616",
            "telephone_number": "859-648-2835",
            "fax_number": "859-407-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LAUREN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-07-16",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "245782",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "KY",
            "license": "245782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.