Active NPI
Lauren Michelle Barnak, MS, RDN, CDN
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1871065128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009648
- Practice address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1138 - Phone
- (718) 918-4426
- Fax
- (718) 918-7417
- NPI assigned
- Dec 27, 2018
- 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 | 009648 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Mailing address
403 Franklin Ave
Brooklyn, NY 11238-2013
Phone (360) 981-9360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86026581 | Other | COMISSION ON DIETETIC REGISTRATION | |
| 009648 | Other | NY | NEW YORK ED. DEPT OFFICE OF THE PROFESSIONS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009648 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1871065128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 FRANKLIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112382013",
"telephone_number": "360-981-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-4426",
"fax_number": "718-918-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNAK",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "MS, RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMISSION ON DIETETIC REGISTRATION",
"identifier": "86026581",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK ED. DEPT OFFICE OF THE PROFESSIONS",
"identifier": "009648",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.