Active NPI
Laurie Judith Richardson, RD, LDN
- Registered Dietitian
- Loudon, TN
National Provider Identifier
1790501674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000004596
- Practice address
- 850 Indian Cave Dr
Loudon, TN 37774-5436 - Phone
- (916) 690-0761
- NPI assigned
- Nov 25, 2024
- 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 | LDN0000004596 | TN | Primary |
Addresses
Primary practice location
850 Indian Cave Dr
Loudon, TN 37774-5436
Mailing address
850 Indian Cave Dr
Loudon, TN 37774-5436
Phone (916) 690-0761
Other names 1
- Laurie Judith Richardson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000004596 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1790501674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 INDIAN CAVE DR",
"city": "LOUDON",
"state": "TN",
"postal_code": "377745436",
"telephone_number": "916-690-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 INDIAN CAVE DR",
"city": "LOUDON",
"state": "TN",
"postal_code": "377745436",
"telephone_number": "916-690-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "LAURIE",
"middle_name": "JUDITH",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000004596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "RICHARDSON",
"middle_name": "JUDITH",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.