Individual provider Active NPI

Laurie Anne Higgins, MS, RD, LDN, CDE

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1922022706
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
278 Issued in MA
Practice address
1 Joslin PL
Pedaitrics, Unit 3
Boston, MA 02215-5306
Phone
(617) 309-2654
Fax
(617) 309-2451
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 278 MA Primary

Addresses

Primary practice location

1 Joslin PL
Pedaitrics, Unit 3
Boston, MA 02215-5306

Mailing address

15 Hazelmere Rd
Roslindale, MA 02131-1423
Phone (617) 325-5516

Other identifiers 1

IdentifierTypeStateIssuer
MT017601MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000363 MA Practitioner - Registered Dietitian Or Nutrition Professional 2264696962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
278MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Joslin Clinic Inc CurrentSince Mar 15, 2012 Accepting new patients

Locations

1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400

1 Joslin Pl
Unit 3
Boston, MA 02215
Phone (617) 309-2654

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1922022706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAZELMERE RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311423",
            "telephone_number": "617-325-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOSLIN PL",
            "address_2": "PEDAITRICS, UNIT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155306",
            "telephone_number": "617-309-2654",
            "fax_number": "617-309-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MT017601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.