Active NPI
Daniel Lyle, CPT, LFC
- Obesity and Weight Management Nutrition Registered Dietitian
- Omaha, NE
National Provider Identifier
1023657616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Practice address
- 2660 N 72ND St
Omaha, NE 68134-7028 - Phone
- (402) 618-2579
- NPI assigned
- Dec 30, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Primary |
Addresses
Primary practice location
2660 N 72ND St
Omaha, NE 68134-7028
Mailing address
2660 N 72ND St
Omaha, NE 68134-7028
Phone (402) 618-2579
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833993092 | Other | NE | BLUE CROSS BLUE SHIELD |
| 833993092 | Medicaid | NE | |
| 833993092 | Other | NE | HUMANA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Http://musclehousefitness.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1023657616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681347028",
"telephone_number": "402-618-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681347028",
"telephone_number": "402-618-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "CPT, LFC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "833993092",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "833993092",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "833993092",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Http://musclehousefitness.com",
"affiliation": "N",
"endpointDescription": "Website portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2660 N 72nd St",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681347028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.