Active NPI
Lesley F. McKeen, DIETITIAN
- Registered Dietitian
- Plymouth, MA
National Provider Identifier
1376777672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000002878
- Practice address
- 14 Kevin Ave
Plymouth, MA 02360 - Phone
- (774) 454-6734
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 000002878 | MA | Primary |
Addresses
Primary practice location
14 Kevin Ave
Plymouth, MA 02360
Mailing address
14 Kevin Ave
Plymouth, MA 02360
Phone (774) 454-6734
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000002878 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1376777672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KEVIN AVE",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "774-454-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 KEVIN AVE",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "774-454-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEEN",
"first_name": "LESLEY",
"middle_name": "F.",
"name_prefix": "Ms.",
"credential": "DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000002878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.