Active NPI
Breana G Lai, RD,LDN
- Registered Dietitian
- Chapel Hill, NC
National Provider Identifier
1639445216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003947
- Practice address
- 1340 Environ Way Ste 1340
Chapel Hill, NC 27517-4430 - Phone
- (919) 210-1144
- NPI assigned
- Mar 28, 2012
- 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 | L003947 | NC | Primary |
Addresses
Primary practice location
1340 Environ Way Ste 1340
Chapel Hill, NC 27517-4430
Mailing address
710 Market St
#16
Chapel Hill, NC 27516-9358
Phone (919) 210-1144
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
| License | State | Type | Specialty |
|---|---|---|---|
| L003947 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337990400000",
"number": "1639445216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 MARKET ST",
"address_2": "#16",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169358",
"telephone_number": "919-210-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 ENVIRON WAY STE 1340",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275174430",
"telephone_number": "919-210-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "BREANA",
"middle_name": "G",
"credential": "RD,LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.