Laura B Van Guilder, CRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

933515

Practice address

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Phone

(906) 774-1313

NPI assigned

Jun 18, 2009

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

Interoperability endpoints

• Direct secure messaging: laura.vanguilder.1@22710.direct.athenahealth.com

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1396972162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010549",
            "telephone_number": "906-774-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013637",
            "telephone_number": "906-774-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GUILDER",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "CRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "933515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Turner, FNP
• Zeina Ulibarri
• Kaitlyn Uren
• Urology Associates of Green Bay
• Cheryl Ann Vader, APNP
• Ellen E Van Laanen, DO
• Melissa A Vandermissen, D.C.
• Rebecca Anne Vandusen, RD
• Benjamin R. Vanguilder, PHARM.D.
• Perrie Vanpembrook

• Registered Dietitian in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.