Jennifer Lyle, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1033285 Issued in NU

Practice address

300 Brighton Ave
Rochester, PA 15074-2165

Phone

(724) 709-6005

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cornerstone Wellness Center Inc

  • Professional Counselor
  • Beaver, PA
  • NPI 1316513344
  Medicare reassignment NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1144088709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CONGRESSIONAL LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150098568",
            "telephone_number": "845-537-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRIGHTON AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742165",
            "telephone_number": "724-709-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Congressional Ln",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150098568",
            "country_code": "US",
            "telephone_number": "845-537-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "1033285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kurash, LSW
• Stacey M. Laverock, LCSW
• Lee C. Chewning DMD PC
• Brittany Lyn Longobardi, DNP, PMHNP-BC
• Judith Ann Lorenz, R.N.
• David Patrick Madden, DNP-PMHNP
• Francheska Rose Marino
• Mario a. Grippa
• Stacy Ann Martella, PHARMD
• Marissa Mateer, LCSW

• Registered Dietitian in Rochester, PA
• Providers in Rochester, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.