Active NPI
Linda Lane, RDLD
- Registered Dietitian
- Andalusia, AL
National Provider Identifier
1326727199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 725057
- Practice address
- 124 Captain Quarters Dr
Andalusia, AL 36420-4922 - Phone
- (270) 584-2723
- NPI assigned
- Jul 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2508 | AL | |
| Registered Dietitian | 133V00000X | 725057 | IL | Primary |
Addresses
Primary practice location
124 Captain Quarters Dr
Andalusia, AL 36420-4922
Mailing address
124 Captain Quarters Dr
Andalusia, AL 36420-4922
Phone (270) 584-2723
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 |
|---|---|---|---|
| 725057 | IL | MD | Registered Dietitian |
| 2508 | AL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1326727199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CAPTAIN QUARTERS DR",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364204922",
"telephone_number": "270-584-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CAPTAIN QUARTERS DR",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364204922",
"telephone_number": "270-584-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "LINDA",
"credential": "RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2508",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "725057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.