Active NPI
Laura Baum
- Nutritionist
- Raleigh, NC
National Provider Identifier
1417509159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- L005791
- Practice address
- 8801 Fast Park Dr Ste 211
Raleigh, NC 27617-4853 - Phone
- (919) 442-8398
- NPI assigned
- Jul 12, 2019
- Last updated
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | L005791 | NC | Primary |
Addresses
Primary practice location
8801 Fast Park Dr Ste 211
Raleigh, NC 27617-4853
Mailing address
1005 W Main St Apt 142
Durham, NC 27701-1363
Phone (919) 698-7759
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1417509159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W MAIN ST APT 142",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011363",
"telephone_number": "919-698-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 FAST PARK DR STE 211",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276174853",
"telephone_number": "919-442-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NC",
"license": "L005791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 2, 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.