Active NPI
Lauren Giczewski Bailey, R.D.
- Registered Dietitian
- St Simons Island, GA
National Provider Identifier
1750684114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002579
- Practice address
- 504 Beachview Dr
Suite 2a
Saint Simons Island, GA 31522-4740 - Phone
- (912) 222-7755
- NPI assigned
- Dec 7, 2010
- Last updated
- Oct 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002579 | GA | Primary |
Addresses
Primary practice location
504 Beachview Dr
Suite 2a
Saint Simons Island, GA 31522-4740
Mailing address
620 Sea Island Rd
273
Saint Simons Island, GA 31522-1767
Phone (912) 222-7755
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrisource Nutritional Services, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- St Simons Island, GA
- NPI 1932486966
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1750684114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SEA ISLAND RD",
"address_2": "273",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315221767",
"telephone_number": "912-222-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 BEACHVIEW DR",
"address_2": "SUITE 2A",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315224740",
"telephone_number": "912-222-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LAUREN",
"middle_name": "GICZEWSKI",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.