Individual provider Active NPI

Lauren McManus George, RDN

  • Registered Dietitian
  • Malvern, PA
National Provider Identifier
1861169401
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86119182 Issued in PA
Practice address
176 Grubb Rd
Malvern, PA 19355-3504
Phone
(610) 513-0525
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86119182 PA Primary

Addresses

Primary practice location

176 Grubb Rd
Malvern, PA 19355-3504

Mailing address

176 Grubb Rd
Malvern, PA 19355-3504
Phone (610) 513-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724003586 PA Practitioner - Registered Dietitian Or Nutrition Professional 1355701210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Nutrition and Fitness LLCGroup PAC ID 0446610307, 2 clinicians

Practice addresses (Care Compare)

175 Strafford Ave
Suite 1
Wayne, PA 19087-3340
Phone (610) 513-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86119182PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Nutrition and Fitness LLC Dietitian, Registered CurrentSince Apr 24, 2023 Accepting new patients

Locations

175 Strafford Ave
Ste 1
Wayne, PA 19087
Phone (484) 253-1082

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1861169401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GRUBB RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553504",
            "telephone_number": "610-513-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 GRUBB RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553504",
            "telephone_number": "610-513-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LAUREN",
        "middle_name": "MCMANUS",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86119182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.