Individual provider Active NPI

Lynne J. Smith, MS RD LDN

  • Registered Dietitian
  • Springfield, MA
National Provider Identifier
1386735702
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
87 Issued in MA
Practice address
532 Sumner Ave
Springfield, MA 01108-2458
Phone
(413) 739-1100
Fax
(413) 737-1643
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 87 MA Primary

Addresses

Primary practice location

532 Sumner Ave
Springfield, MA 01108-2458

Mailing address

1145 Main St
Suite 301
Springfield, MA 01103-2143
Phone (413) 739-1100

Other identifiers 3

IdentifierTypeStateIssuer
37304OtherMAHEALTH NEW ENGLAND
87OtherMALICENSE
863926OtherMAREGISTERED DIETICIAN #

Other names 1

  • Lynne Jarret Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
87MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1386735702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032143",
            "telephone_number": "413-739-1100",
            "fax_number": "412-693-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082458",
            "telephone_number": "413-739-1100",
            "fax_number": "413-737-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNNE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "37304",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "87",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETICIAN #",
            "identifier": "863926",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "JARRET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.