Active NPI
Louraine Eagle
- Registered Dietitian
- West Orange, NJ
National Provider Identifier
1558550459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 769 Northfield Ave
Suite 140
West Orange, NJ 07052-1198 - Phone
- (973) 731-6565
- Fax
- (973) 731-9855
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
769 Northfield Ave
Suite 140
West Orange, NJ 07052-1198
Mailing address
769 Northfield Ave
Suite 140
West Orange, NJ 07052-1198
Phone (973) 731-6565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0584681 | Other | NJ | CIGNA |
| P2951858 | Other | NJ | OXFORD |
| 2234854 | Other | NJ | UNITED HEALTHCARE |
| 2959549 | Other | NJ | AETNA |
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": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1558550459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 NORTHFIELD AVE",
"address_2": "SUITE 140",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521198",
"telephone_number": "973-731-6565",
"fax_number": "973-731-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 NORTHFIELD AVE",
"address_2": "SUITE 140",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521198",
"telephone_number": "973-731-6565",
"fax_number": "973-731-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLE",
"first_name": "LOURAINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0584681",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2951858",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2234854",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2959549",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.