Active NPI
Lydia Rueckheim, RD
- Registered Dietitian
- Pittsfield, MA
National Provider Identifier
1346951001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5538-NU-NU
- Practice address
- 264 2ND St
Pittsfield, MA 01201-4866 - Phone
- (413) 822-4474
- NPI assigned
- Dec 13, 2022
- 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 | 5538-NU-NU | MA | Primary |
Addresses
Primary practice location
264 2ND St
Pittsfield, MA 01201-4866
Mailing address
1485 State Route 295
East Chatham, NY 12060-3512
Phone (518) 965-4927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
725 N St
Pittsfield, MA 01201
725 N St
Pittsfield, MA 01201-4109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5538-NU-NU | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1346951001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 STATE ROUTE 295",
"city": "EAST CHATHAM",
"state": "NY",
"postal_code": "120603512",
"telephone_number": "518-965-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 2ND ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014866",
"telephone_number": "413-822-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUECKHEIM",
"first_name": "LYDIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5538-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.