Alexandria Kennedy Lane, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003684 Issued in GA

Practice address

160 Walthall St SE
Atlanta, GA 30316-1340

Phone

(678) 888-1182

NPI assigned

Dec 7, 2015

Last updated

Dec 7, 2015By 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 DC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ryse Health Maryland Physicians PCGroup PAC ID 6305239310, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Ryse Health Maryland Physicians, PC

  dba Ryse Health

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
  • NPI 1265183354

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1265807911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WALTHALL ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161340",
            "telephone_number": "678-888-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WALTHALL ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161340",
            "telephone_number": "678-888-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ALEXANDRIA",
        "middle_name": "KENNEDY",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Y Landry, PA
• Kristyna Landt, MD
• Michael S. Landy, MD
• Tatiana Nichole Landy
• Alexander Lane
• Angela Davis Lane, LPC
• Anne Holland Lane
• Catherine Lane, NP
• Christopher Robert Lane, PT
• Elizabeth Christianne Lane, P.T.

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.