Organization Active NPI

Laura Your Dietitian LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1780298257
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 2, 2020

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@laurayourdietitianllc.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.