Active NPI
Laura M Taber, PHD, RD, LD
- Registered Dietitian
- Rio Rancho, NM
National Provider Identifier
1629380381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0633
- Practice address
- 273 Nicklaus Dr SE
Rio Rancho, NM 87124-3458 - Phone
- (505) 353-2951
- NPI assigned
- Jul 10, 2010
- 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 | LD-0633 | NM | Primary |
Addresses
Primary practice location
273 Nicklaus Dr SE
Rio Rancho, NM 87124-3458
Mailing address
273 Nicklaus Dr SE
Rio Rancho, NM 87124-3458
Phone (505) 353-2951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-192035-00-7 | Other | NM | NEW MEXICO TRD ID # |
| 80-0614609 | Other | FEDERAL ID NUMBER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0633 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1629380381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 NICKLAUS DR SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243458",
"telephone_number": "505-353-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 NICKLAUS DR SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243458",
"telephone_number": "505-353-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABER",
"first_name": "LAURA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO TRD ID #",
"identifier": "03-192035-00-7",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "80-0614609",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.