Active NPI
Sophia Alexandra Laird, MS, RDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1831920941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11946850
- Practice address
- 1355 W Washington Blvd Ste a
Chicago, IL 60607-1960 - Phone
- (823) 331-2585
- NPI assigned
- Aug 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 11946850 | TX | Primary |
Addresses
Primary practice location
1355 W Washington Blvd Ste a
Chicago, IL 60607-1960
Mailing address
4000 Kaywood CT
Bee Cave, TX 78738-5000
Phone (512) 925-1525
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11946850 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723248000000",
"number": "1831920941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 KAYWOOD CT",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787385000",
"telephone_number": "512-925-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 W WASHINGTON BLVD STE A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071960",
"telephone_number": "823-331-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "SOPHIA",
"middle_name": "ALEXANDRA",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-10",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "11946850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.