Individual provider Active NPI

Lynn Parker Klees, R.D.

  • Registered Dietitian
  • University Park, PA
National Provider Identifier
1073689121
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000302 Issued in PA
Practice address
119 D Chandlee Lab
University Park, PA 16802-6109
Phone
(814) 863-0616
Fax
(814) 863-6103
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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 DN000302 PA Primary

Addresses

Primary practice location

119 D Chandlee Lab
University Park, PA 16802-6109

Mailing address

174 Claremont Ave
State College, PA 16801-8818
Phone (814) 571-2286

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

State licenses

LicenseStateTypeSpecialty
DN000302PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1073689121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CLAREMONT AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018818",
            "telephone_number": "814-571-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 D CHANDLEE LAB",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168026109",
            "telephone_number": "814-863-0616",
            "fax_number": "814-863-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEES",
        "first_name": "LYNN",
        "middle_name": "PARKER",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.