Lifestyle Nutrition Wny, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007370 Issued in NY

Legal business name

LIFESTYLE NUTRITION WNY, PLLC

Practice address

7350 Porter Rd
Niagara Falls, NY 14304-5705

Phone

(716) 222-0297

Fax

(716) 794-9466

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Lindsay Gillon, RD, CDENPI 1538414396

Title

Owner

Phone

(716) 222-0297

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Hassell, RDN

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1275429466

  Dietitian, Registered, NY

  Medicare reassignment Care Compare group NPD
• Lindsay Marie Gillon, RDN, CDN, CDCES

  • Registered Dietitian
  • Niagara Falls, NY
  • NPI 1538414396
  Medicare reassignment Authorized official
• Melissa Anne Verdi, MS, RDN, CDN, CDCES

  • Registered Dietitian
  • Clarence, NY
  • NPI 1568639813
  Medicare reassignment Care Compare group
• Carolyn Difonzo, F.N.P.

  • Family Nurse Practitioner
  • Niagara Falls, NY
  • NPI 1831115096
  NPD (past)
• Giuseppina Jean Kenyon Savard, D.O.

  • Family Medicine Physician
  • Niagara Falls, NY
  • NPI 1023278082
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1346794310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WHITE TAIL RUN",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723234",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE NUTRITION WNY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "GILLON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-222-0297",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uniquia Lewis
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• Liberty RC Inc (Niagara Falls Kidney Care Center)
• Alexandra Marie Licastro, RN
• Lifeline Transportation LLC
• James Michael Ligammare, LMT
• Doris Jean Lincoln, LPN
• Lingle & Mazur Physical Therapy, PC (Dubois Physical Therapy)
• Charles K Lingle Jr., PT
• Elizabeth Marie Linnane, LMHC

• Registered Dietitian in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.