Individual provider Active NPI

Kylie Lebel, RDN, LDN

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1235763103
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86057606 Issued in NJ
Practice address
320 W Broadway Apt 5
Boston, MA 02127-1962
Phone
(330) 861-4480
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86057606 NJ Primary

Addresses

Primary practice location

320 W Broadway Apt 5
Boston, MA 02127-1962

Mailing address

320 W Broadway Apt 5
Boston, MA 02127-1962
Phone (330) 861-4480

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www2.carecloud.com/breeze/schedule-demo?Source=Web&Lead_Source_Detail=Google%20Adwords&Lead_S

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

State licenses

LicenseStateTypeSpecialty
86057606NJMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1235763103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W BROADWAY APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271962",
            "telephone_number": "330-861-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W BROADWAY APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271962",
            "telephone_number": "330-861-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEL",
        "first_name": "KYLIE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86057606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www2.carecloud.com/breeze/schedule-demo?Source=Web&Lead_Source_Detail=Google%20Adwords&Lead_S",
            "affiliation": "N",
            "endpointDescription": "CareCloud",
            "address_1": "320 W Broadway Apt 5",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021271962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.