Active NPI
Stephanie Lacroix, MS, RD, LDN
- Registered Dietitian
- Worcester, MA
National Provider Identifier
1962869412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3268
- Practice address
- 119 Belmont St
Worcester, MA 01605-2903 - Phone
- (508) 334-1000
- NPI assigned
- Jan 27, 2016
- 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 | 3268 | MA | Primary |
Addresses
Primary practice location
119 Belmont St
Worcester, MA 01605-2903
Mailing address
27 Fairview Dr
Leicester, MA 01524-2145
Phone (508) 241-5938
Other practice location 1
57 E Main St
Ste 209
Westborough, MA 01581-1445
Phone (508) 870-1800
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Regal Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Westborough, MA
- NPI 1083972806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1962869412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 FAIRVIEW DR",
"city": "LEICESTER",
"state": "MA",
"postal_code": "015242145",
"telephone_number": "508-241-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052903",
"telephone_number": "508-334-1000"
}
],
"practiceLocations": [
{
"address_1": "57 E MAIN ST",
"address_2": "STE 209",
"address_purpose": "LOCATION",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811445",
"country_code": "US",
"telephone_number": "508-870-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACROIX",
"first_name": "STEPHANIE",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.