Lynn M Pendley, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

724766 Issued in KY

Practice address

9400 Mill Brook Rd
Northeast YMCA
Louisville, KY 40223

Phone

(502) 425-1271

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Lynn M Mattingly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1336486653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 DUANE POINT CIR",
            "address_2": "APT. 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431799",
            "telephone_number": "502-424-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 MILL BROOK RD",
            "address_2": "NORTHEAST YMCA",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-425-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "0797",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "724766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "MATTINGLY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "M.S., R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Eli Pendleton, MD
• Nadia Maria Pendleton, DMD
• Porshia Pendleton, MSOT, OTR/L
• Terrell Lee Pendleton, DMD
• Amberly S Pendley
• Chaisak Pengvanich, M.D.
• Tori Marissa Penick, PHARM.D.
• Amber June Penn, PSY.D.
• Krysta Penn
• Lee Thomas Penn

• Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.