Active NPI
Cynthia R Lessen, RD
- Registered Dietitian
- Mount Carmel, IL
National Provider Identifier
1245566637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164002225
- Practice address
- 1418 College Dr
Mount Carmel, IL 62863-2638 - Phone
- (618) 262-8621
- Fax
- (618) 263-6467
- NPI assigned
- Oct 20, 2009
- Last updated
- Oct 20, 2009
- 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 | 164002225 | IL | Primary |
Addresses
Primary practice location
1418 College Dr
Mount Carmel, IL 62863-2638
Mailing address
435 Campus View Dr
Lincoln, IL 62656-2101
Phone (618) 262-8621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164002225 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1245566637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CAMPUS VIEW DR",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562101",
"telephone_number": "618-262-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 COLLEGE DR",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628632638",
"telephone_number": "618-262-8621",
"fax_number": "618-263-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSEN",
"first_name": "CYNTHIA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164002225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.