Individual provider Active NPI

Mattie Lefever, RDN

  • Registered Dietitian
  • Harrisburg, PA
National Provider Identifier
1083382956
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007169 Issued in PA
Practice address
805 N Front St
Harrisburg, PA 17102-3409
Phone
(717) 686-4873
Fax
(717) 232-2127
NPI assigned
Sep 3, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 DN007169 PA Primary

Addresses

Primary practice location

805 N Front St
Harrisburg, PA 17102-3409

Mailing address

805 N Front St
Harrisburg, PA 17102-3409
Phone (717) 686-4873

Other practice location 1

5000 Commons Dr
Harrisburg, PA 17112-4936
Phone (717) 551-1601

Other practice location 2

410 Fallowfield Rd
Camp Hill, PA 17011-4905
Phone (717) 737-9622 ext. 21

Other practice location 3

701 N Front St
Harrisburg, PA 17101-1017
Phone (717) 232-9622 ext. 21

Other practice location 4

500 N Church St
Elizabethville, PA 17023-8928
Phone (717) 362-9494

Other practice location 5

2135 N 6th St
Harrisburg, PA 17110-2404
Phone (717) 238-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503003521 PA Practitioner - Registered Dietitian Or Nutrition Professional 8224414339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community CareGroup PAC ID 8123914322, 20 clinicians

Practice addresses (Care Compare)

584 Springville Rd
New Holland, PA 17557-9564
Phone (717) 299-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN007169PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Apr 20, 2023 Accepting new patients
Union Community Care CurrentSince Apr 20, 2023 Accepting new patients
Union Community Care Past Accepting new patients
Union Community Care Past Accepting new patients
Union Community Care Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

515 Hershey Ave
Lancaster, PA 17603
Phone (305) 317-0291

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

920 Church St
Lebanon, PA 17046
Phone (717) 272-2700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: mattie.lefever.1@14261.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1083382956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171023409",
            "telephone_number": "717-686-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171023409",
            "telephone_number": "717-686-4873",
            "fax_number": "717-232-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171124936",
            "country_code": "US",
            "telephone_number": "717-551-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Fallowfield Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114905",
            "country_code": "US",
            "telephone_number": "717-737-9622 x21",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171011017",
            "country_code": "US",
            "telephone_number": "717-232-9622 x21",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Church St",
            "address_purpose": "LOCATION",
            "city": "Elizabethville",
            "state": "PA",
            "postal_code": "170238928",
            "country_code": "US",
            "telephone_number": "717-362-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171102404",
            "country_code": "US",
            "telephone_number": "717-238-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFEVER",
        "first_name": "MATTIE",
        "name_prefix": "Miss",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.