Active NPI
Lynne Ann Trestrail, RD
- Renal Nutrition Registered Dietitian
- Concord, CA
National Provider Identifier
1356576375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 469157
- Practice address
- 2300 Stanwell Dr Ste C
Concord, CA 94520-4841 - Phone
- (925) 677-7492
- NPI assigned
- May 19, 2009
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 469157 | Primary |
Addresses
Primary practice location
2300 Stanwell Dr Ste C
Concord, CA 94520-4841
Mailing address
2300 Stanwell Dr Ste C
Concord, CA 94520-4841
Phone (925) 677-7492
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1356576375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 STANWELL DR STE C",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204841",
"telephone_number": "925-677-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 STANWELL DR STE C",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204841",
"telephone_number": "925-677-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESTRAIL",
"first_name": "LYNNE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": "469157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.