Active NPI
Lynn Anne Bruner, R.D.
- Registered Dietitian
- Franklin, IN
National Provider Identifier
1083813059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37000451A
- Practice address
- 1125 W Jefferson St
Franklin, IN 46131-2140 - Phone
- (317) 736-3331
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37000451A | IN | Primary |
Addresses
Primary practice location
1125 W Jefferson St
Franklin, IN 46131-2140
Mailing address
1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940990X | Other | IN | MEDICARE INDIVIDUAL PROVI |
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 |
|---|---|---|---|
| 37000451A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1083813059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312140",
"telephone_number": "317-736-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312140",
"telephone_number": "317-736-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "LYNN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37000451A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PROVI",
"identifier": "940990X",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.