Laurie M Shrader

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN-0000258 Issued in DE

Practice address

1020 Forrest Ave
Dover, DE 19904-2799

Phone

(302) 678-4622

Fax

(302) 678-2292

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurie Ellen Mayan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1821220732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-652-2455",
            "fax_number": "302-652-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042799",
            "telephone_number": "302-678-4622",
            "fax_number": "302-678-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "LAURIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "MAYAN",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay R Shockley, RBT
• Pamela Shockley
• Donna Marie Short, R.PH.
• Sarah Christine Shotwell
• Megan Marie Shoup, MA CCC-SLP
• Shrinkmd Health Inc.
• Maria Shroyer, M.S.,R.D.
• John W Shuck, M.D.
• David Sibley, M.D.
• Edward Victor Sidel, DDS

• Registered Dietitian in Dover, DE
• Providers in Dover, DE by specialty
• Registered Dietitian in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.