Laure F Sullivan, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D01528 Issued in MD

Practice address

Vamhcs
Building 14H
Perry Point, MD 21902

Phone

(410) 642-2411

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720184922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BAYVIEW BLVD",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219015600",
            "telephone_number": "410-935-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAMHCS",
            "address_2": "BUILDING 14H",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURE",
        "middle_name": "F",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Carmella Smith, CRNP
• Jaswinder Sodhi, M.D.
• Tazzarae Spivey-Mooring, PH.D
• Lisa Falconero Sterk, PSY.D.
• Anne Stoline, M.D.
• William Thomas Swart Jr., MD
• Valdis Tabe, LCSW-C
• Christina Jean Thai, PHD
• Deborah Ann Tobin, LCSW
• Thomas Yoshito Tsuji, PHD

• Registered Dietitian in Perry Point, MD
• Providers in Perry Point, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.