Individual provider Active NPI

Miriam Lapore, MED, RDN

  • Registered Dietitian
  • Albuquerque, NM
National Provider Identifier
1750857835
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-0772 Issued in NM
Practice address
11232 Woodmar LN NE
Albuquerque, NM 87111-6509
Phone
(505) 290-8620
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X LD-0772 NM Primary

Addresses

Primary practice location

11232 Woodmar LN NE
Albuquerque, NM 87111-6509

Mailing address

11232 Woodmar LN NE
Albuquerque, NM 87111-6509
Phone (505) 290-8620

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
Master of Education

State licenses

LicenseStateTypeSpecialty
LD-0772NMMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1750857835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 WOODMAR LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116509",
            "telephone_number": "505-290-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 WOODMAR LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116509",
            "telephone_number": "505-290-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPORE",
        "first_name": "MIRIAM",
        "credential": "MED, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "LD-0772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.