Lynda Flavia Lawrence, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1928 Issued in ME

Practice address

511 Congress St
Portland, ME 04101-3482

Phone

(650) 248-4863

Fax

(207) 387-7147

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gut Glow LLC

  • Registered Dietitian
  • Portland, ME
  • NPI 1447026125

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1003528332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 170TH ST APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323226",
            "telephone_number": "650-248-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013482",
            "telephone_number": "650-248-4863",
            "fax_number": "207-387-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11835 Queens Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757211",
            "country_code": "US",
            "telephone_number": "929-307-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LYNDA",
        "middle_name": "FLAVIA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nazmaduro.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "11835 Queens Blvd Ste 400",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113757211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James F. Law, LCSW
• Brian A Lawhead, PA-C
• Heather N Lawler, PA-C
• Donna L Lawlor, DNP
• Brian Lawrence, LMT
• Meegan Lawrence, M.A., CCC-SLP
• Nathan Andrew Cade Lawrence, MD
• Alissa M Lawson, RDH
• Marjorie Thomas Lawson, APRN, FNP
• Diane S. Lawton, LCSW

• Registered Dietitian in Portland, ME
• Providers in Portland, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.