Active NPI
Lucille Rose Brind, MS, RD, CDN
- Registered Dietitian
- Baldwin, NY
National Provider Identifier
1174742423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 683567
- Practice address
- 830 Atlantic Ave
Baldwin, NY 11510-4098 - Phone
- (516) 867-7817
- Fax
- (516) 867-3779
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- 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 | 683567 | NY | Primary |
Addresses
Primary practice location
830 Atlantic Ave
Baldwin, NY 11510-4098
Mailing address
5 Lindenmere Dr
Merrick, NY 11566-4313
Phone (516) 867-3779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060309000099 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 1456368927 | Practice locations: Lynbrook, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 683567 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174742423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LINDENMERE DR",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664313",
"telephone_number": "516-867-3779",
"fax_number": "516-867-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 ATLANTIC AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104098",
"telephone_number": "516-867-7817",
"fax_number": "516-867-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIND",
"first_name": "LUCILLE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "MS, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "683567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.