Active NPI
Laura Michelle Cresta, RD
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1851901771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006260
- Practice address
- 1030 N 2ND St Unit 303
Philadelphia, PA 19123-1595 - Phone
- (215) 779-9511
- NPI assigned
- Aug 5, 2020
- 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 | DN006260 | PA | Primary |
Addresses
Primary practice location
1030 N 2ND St Unit 303
Philadelphia, PA 19123-1595
Mailing address
4 Cricket Cir
Horsham, PA 19044-1837
Phone (215) 779-9511
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1851901771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CRICKET CIR",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190441837",
"telephone_number": "215-779-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N 2ND ST UNIT 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231595",
"telephone_number": "215-779-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESTA",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.