Active NPI
Ilana Lauer
- Registered Dietitian
- Valley Stream, NY
National Provider Identifier
1639713969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 759 Wilson CT
Valley Stream, NY 11581-3531 - Phone
- (516) 680-0196
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | |||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
759 Wilson CT
Valley Stream, NY 11581-3531
Mailing address
759 Wilson CT
Valley Stream, NY 11581-3531
Phone (516) 680-0196
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1639713969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 WILSON CT",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813531",
"telephone_number": "516-680-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 WILSON CT",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813531",
"telephone_number": "516-680-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUER",
"first_name": "ILANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1401X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.