Active NPI
Amy Lynn Lusk, MS, RD, LD
- Registered Dietitian
- Lewis Center, OH
National Provider Identifier
1104137579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 85002283
- Practice address
- 171 Green Meadows Dr S
Lewis Center, OH 43035-9458 - Phone
- (614) 985-6569
- NPI assigned
- Jun 30, 2010
- 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 | 85002283 | OH | Primary |
Addresses
Primary practice location
171 Green Meadows Dr S
Lewis Center, OH 43035-9458
Mailing address
8628 Clover Glade Dr
Lewis Center, OH 43035-8649
Phone (740) 703-7743
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85002283 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1104137579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8628 CLOVER GLADE DR",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430358649",
"telephone_number": "740-703-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 GREEN MEADOWS DR S",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359458",
"telephone_number": "614-985-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSK",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "85002283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.