Active NPI
Molly A Laprade
- Registered Dietitian
- Newark, NY
National Provider Identifier
1841315272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 886308
- Practice address
- 703 E Maple Ave
Newark, NY 14513-1845 - Phone
- (315) 331-1700
- NPI assigned
- Mar 21, 2007
- Reactivated
- Jul 11, 2014
- 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 | 886308 | NY | Primary |
Addresses
Primary practice location
703 E Maple Ave
Newark, NY 14513-1845
Mailing address
68 Garden St
Seneca Falls, NY 13148-2114
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 |
|---|---|---|---|
| 886308 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1841315272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 GARDEN ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131482114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 E MAPLE AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131845",
"telephone_number": "315-331-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPRADE",
"first_name": "MOLLY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2014-07-11",
"deactivation_date": "2007-08-28",
"reactivation_date": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "886308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.