Individual provider Active NPI

Lauren Ann Bronich-Hall, RD CDE

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1528004926
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D01981 Issued in MD
Practice address
1501 Saint Paul St
Suite 118
Baltimore, MD 21202-3056
Phone
(443) 692-3105
Fax
(443) 692-3099
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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 D01981 MD Primary

Addresses

Primary practice location

1501 Saint Paul St
Suite 118
Baltimore, MD 21202-3056

Mailing address

1501 Saint Paul St
Suite 118
Baltimore, MD 21202-3056
Phone (443) 692-3105

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D01981MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1528004926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SAINT PAUL ST",
            "address_2": "SUITE 118",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023056",
            "telephone_number": "443-692-3105",
            "fax_number": "443-692-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAINT PAUL ST",
            "address_2": "SUITE 118",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023056",
            "telephone_number": "443-692-3105",
            "fax_number": "443-692-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONICH-HALL",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.