Active NPI
Lauren M Irvine, RDN
- Registered Dietitian
- Atchison, KS
National Provider Identifier
1811543259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2408
- Practice address
- 800 Ravenhill Dr
Atchison, KS 66002-9204 - Phone
- (913) 367-2131
- Fax
- (913) 674-2023
- NPI assigned
- Aug 12, 2019
- 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 | 2408 | KS | Primary |
Addresses
Primary practice location
800 Ravenhill Dr
Atchison, KS 66002-9204
Mailing address
800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dietitian@atchhospdirect.org | Direct | Amberwell Atchison Association |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2408 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1811543259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RAVENHILL DR",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660029204",
"telephone_number": "913-367-2131",
"fax_number": "913-674-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RAVENHILL DR",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660029204",
"telephone_number": "913-367-2131",
"fax_number": "913-674-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "LAUREN",
"middle_name": "M",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2408",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dietitian@atchhospdirect.org",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Amberwell Atchison Association",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "800 Ravenhill Dr",
"city": "Atchison",
"state": "KS",
"country_code": "US",
"postal_code": "660029204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.