Lauren Planas

Individual provider Active NPI Registered Dietitian · Norwood, MA

NPI 1619614005 · NPPES record last updated May 17, 2022

Key facts

NPI
1619614005
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
5234-NU-NU (MA)
Practice address
100 Morse St
Norwood, MA 02062-4679
Phone
(781) 269-1623
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5234-NU-NUMAMDRegistered Dietitian
LDN01176RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN01176 RI
Registered Dietitian 133V00000X 5234-NU-NU MA Yes

Addresses

Primary practice location

100 Morse St
Norwood, MA 02062-4679

Mailing address

69 N Crescent Circuit
Brighton, MA 02135-3058
Phone (860) 371-4233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2022.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1619614005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N CRESCENT CIRCUIT",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353058",
            "telephone_number": "860-371-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORSE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624679",
            "telephone_number": "781-269-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANAS",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01176",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5234-NU-NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

All providers in Norwood, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.