Active NPI
Amy Lynn Macklin
- Registered Dietitian
- Coraopolis, PA
National Provider Identifier
1053597229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN002704
- Practice address
- 114 Trailside CT
Coraopolis, PA 15108-9169 - Phone
- (412) 916-4890
- NPI assigned
- Jan 17, 2008
- 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 | DN002704 | PA | Primary |
Addresses
Primary practice location
114 Trailside CT
Coraopolis, PA 15108-9169
Mailing address
114 Trailside CT
Coraopolis, PA 15108-9169
Phone (412) 916-4890
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 |
|---|---|---|---|
| DN002704 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1053597229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 TRAILSIDE CT",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151089169",
"telephone_number": "412-916-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 TRAILSIDE CT",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151089169",
"telephone_number": "412-916-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "AMY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.