Lara McNeil, DCN, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008155 Issued in NY

Practice address

12 1St St
Riverhead, NY 11901-4602

Phone

(631) 740-9330

Fax

(631) 640-0090

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

State University of New York at Stony Brook, School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East End Nutrition, PLLC

  • Registered Dietitian
  • Riverhead, NY
  • NPI 1770986796

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1356741649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 1ST ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014602",
            "telephone_number": "631-740-9330",
            "fax_number": "631-640-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 1ST ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014602",
            "telephone_number": "631-740-9330",
            "fax_number": "631-640-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 Main Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mattituck",
            "state": "NY",
            "postal_code": "119521525",
            "country_code": "US",
            "telephone_number": "631-740-9330",
            "fax_number": "631-640-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "DCN, RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Claire McGloine, RN
• Britney A McGowan, LPN
• Jordan Alexis McKernan, LMSW
• Michelle Anne McKillop, OD
• Wendy J McLaughlin, NPP
• Fatema Meah, MD
• Mehta & Mehta Physicians PC
• Arjun Mehta, M.D.
• Paayal P Mehta, MD
• Juliana Mellor

• Registered Dietitian in Riverhead, NY
• Providers in Riverhead, 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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.