Active NPI
Laurie Beth Pavlov, MS RD LD
- Registered Dietitian
- Tallahassee, FL
National Provider Identifier
1841534419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND2581
- Practice address
- 1607 Saint James CT
Tallahassee, FL 32308-5352 - Phone
- (850) 878-0191
- NPI assigned
- Nov 20, 2012
- 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 | ND2581 | FL | Primary |
Addresses
Primary practice location
1607 Saint James CT
Tallahassee, FL 32308-5352
Mailing address
1607 Saint James CT
Tallahassee, FL 32308-5352
Phone (850) 878-0191
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1841534419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 SAINT JAMES CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085352",
"telephone_number": "850-878-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SAINT JAMES CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085352",
"telephone_number": "850-878-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOV",
"first_name": "LAURIE",
"middle_name": "BETH",
"credential": "MS RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND2581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.