Active NPI
Laura Russell, RD
- Registered Dietitian
- Webster Groves, MO
National Provider Identifier
1477098820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2014042798
- Practice address
- 23 N Gore Ave Ste 210
Webster Groves, MO 63119-2300 - Phone
- (314) 961-7605
- NPI assigned
- Dec 21, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2014042798 | MO | Primary |
Addresses
Primary practice location
23 N Gore Ave Ste 210
Webster Groves, MO 63119-2300
Mailing address
23 N Gore Ave Ste 210
Webster Groves, MO 63119-2300
Phone (314) 961-7605
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aligned Eats LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
23 N Gore Ave
Ste 210
Webster Groves, MO 63119
Phone (314) 276-7499
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1477098820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 N GORE AVE STE 210",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192300",
"telephone_number": "314-961-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N GORE AVE STE 210",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192300",
"telephone_number": "314-961-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2014042798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.