Active NPI
Laura Your Dietitian LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1780298257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LAURA YOUR DIETITIAN LLC
- Practice address
- 1030 N 2ND St Unit 303
Philadelphia, PA 19123-1595 - Phone
- (215) 779-9511
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Laura Cresta, RD, LDN
- Title
- Registered Dietitian
- Phone
- (215) 779-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1030 N 2ND St Unit 303
Philadelphia, PA 19123-1595
Mailing address
4 Cricket Circle
Horsham, PA 19044
Phone (215) 779-9511
Other names 1
- Laura Your Dietitian LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@laurayourdietitianllc.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599004800000",
"number": "1780298257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CRICKET CIRCLE",
"city": "HORSHAM",
"state": "PA",
"postal_code": "19044",
"telephone_number": "215-779-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N 2ND ST UNIT 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231595",
"telephone_number": "215-779-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA YOUR DIETITIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "CRESTA",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "215-779-9511",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@laurayourdietitianllc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1030 N 2nd St Unit 303",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191231595",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Laura Your Dietitian LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.