Active NPI
Lydia Grace Vincent, R.D., L.D.N.
- Registered Dietitian
- Montrose, PA
National Provider Identifier
1154568459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004027
- Practice address
- 1444 N Plank Rd
Montrose, PA 18801-8482 - Phone
- (570) 436-1275
- NPI assigned
- Jan 8, 2009
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN004027 | PA | Primary |
Addresses
Primary practice location
1444 N Plank Rd
Montrose, PA 18801-8482
Mailing address
1444 N Plank Rd
Montrose, PA 18801-8482
Phone (570) 278-4812
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 |
|---|---|---|---|
| DN004027 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1154568459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 N PLANK RD",
"city": "MONTROSE",
"state": "PA",
"postal_code": "188018482",
"telephone_number": "570-278-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 N PLANK RD",
"city": "MONTROSE",
"state": "PA",
"postal_code": "188018482",
"telephone_number": "570-436-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "LYDIA",
"middle_name": "GRACE",
"credential": "R.D., L.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, PA
- Alison Anne Tokos, NP
- Trehab Drug and Alcohol Outpatient Center
- Trehab Drug and Alcohol Outpatient Program
- Tri County Human Services Center Inc
- Thomas Vaccaro, DPT, PT
- Vision Innovation Centers of Pennsylvania LLC
- Pamela J Walker, LCSW
- Joyce S White, PT
- Carey Marie Williams, CNP
- Mary Beth Zazzera, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.