Laurie Ann Flagg Inacio, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ADA 861579 Issued in NU

Practice address

59 MDTS/Sgvdd
2200 Bergquist Drive, Ste 1
Lackland Air Force Base, TX 78236

Phone

(210) 292-6512

NPI assigned

Dec 27, 2006

Last updated

Jul 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1861557902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 HYATT RESORT DR APT 1721",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514181",
            "telephone_number": "702-513-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MDTS/SGVDD",
            "address_2": "2200 BERGQUIST DRIVE, STE 1",
            "city": "LACKLAND AIR FORCE BASE",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INACIO",
        "first_name": "LAURIE",
        "middle_name": "ANN FLAGG",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "ADA 861579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Clegg, MD
• Bridget Kaye Fiechtner, M.D.
• Derek Joshua Larbie, PHARM.D
• Rachael Peters, MD
• William Christopher Stehnach, DO
• Kenneth Gerald Torrington, M.D.
• United States Air Force

• Registered Dietitian in Lackland Air Force Base, TX
• Providers in Lackland Air Force Base, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.