Active NPI
Lynne Kinson, M.S.
- Nutrition Education Nutritionist
- Hayden, ID
National Provider Identifier
1073859336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 03050
- Practice address
- 8506 N Maple St
Hayden, ID 83835-8274 - Phone
- (208) 755-2437
- NPI assigned
- Dec 14, 2012
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 03050 | ID | Primary |
Addresses
Primary practice location
8506 N Maple St
Hayden, ID 83835-8274
Mailing address
8506 N Maple St
Hayden, ID 83835-8274
Phone (208) 755-2437
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03050 | ID | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1073859336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8506 N MAPLE ST",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358274",
"telephone_number": "208-755-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8506 N MAPLE ST",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358274",
"telephone_number": "208-755-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSON",
"first_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "ID",
"license": "03050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.