Individual provider Active NPI

Lauren Ross Teague, R.D., L.D.N

  • Registered Dietitian
  • Waynesville, NC
National Provider Identifier
1801171699
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003829 Issued in NC
Practice address
2177 Asheville Road
Waynesville, NC 28786
Phone
(828) 452-6675
Fax
(828) 452-6730
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003829 NC Primary

Addresses

Primary practice location

2177 Asheville Road
Waynesville, NC 28786

Mailing address

2177 Asheville Road
Waynesville, NC 28786
Phone (828) 452-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130725000377 NC Practitioner - Registered Dietitian Or Nutrition Professional 5991946469 Reassigns benefits to 1 organization
I20240508000878 TX Practitioner - Registered Dietitian Or Nutrition Professional 5991946469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L003829NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Apr 19, 2024 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Nov 15, 2014 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Nov 15, 2014 Accepting new patients

Locations

515 S Flower St
#1015
Los Angeles, CA 90071

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

75 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8070

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 3

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1801171699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 ASHEVILLE ROAD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-452-6675",
            "fax_number": "828-452-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 ASHEVILLE ROAD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-452-6675",
            "fax_number": "828-452-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "LAUREN",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.