Active NPI
Luverne Mercedes McDonald
- Registered Dietitian
- Ellicott City, MD
National Provider Identifier
1902922024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- B00236
- Practice address
- 4710 Ramsgill CT
Ellicott City, MD 21043-6516 - Phone
- (410) 418-4515
- Fax
- (410) 418-9075
- NPI assigned
- Mar 21, 2007
- 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 | B00236 | MD | Primary |
Addresses
Primary practice location
4710 Ramsgill CT
Ellicott City, MD 21043-6516
Mailing address
4710 Ramsgill CT
Ellicott City, MD 21043-6516
Phone (410) 418-4515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00236 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902922024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 RAMSGILL CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436516",
"telephone_number": "410-418-4515",
"fax_number": "410-418-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 RAMSGILL CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436516",
"telephone_number": "410-418-4515",
"fax_number": "410-418-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LUVERNE",
"middle_name": "MERCEDES",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "B00236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.