Individual provider Active NPI

Laura Leonard Estan, R.D.

  • Registered Dietitian
  • Westfield, MA
National Provider Identifier
1477722494
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NU 2102 Issued in MA
Practice address
49 Brookline Ave
Westfield, MA 01085-4344
Phone
(413) 237-1471
NPI assigned
Feb 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU 2102 MA Primary

Addresses

Primary practice location

49 Brookline Ave
Westfield, MA 01085-4344

Mailing address

49 Brookline Ave
Westfield, MA 01085-4344
Phone (413) 237-1471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002547 MA Practitioner - Registered Dietitian Or Nutrition Professional 9234664301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

1 Eaton PL
Worcester, MA 01608-1232
Phone (508) 556-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NU 2102MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Oct 21, 2024 Accepting new patients

Locations

5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175

1 Eaton Pl
#3
Worcester, MA 01608

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

1 Eaton Pl
Worcester, MA 01608
Phone (508) 363-6064

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": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1477722494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BROOKLINE AVE",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854344",
            "telephone_number": "413-237-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROOKLINE AVE",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854344",
            "telephone_number": "413-237-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTAN",
        "first_name": "LAURA",
        "middle_name": "LEONARD",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "NU 2102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.