Individual provider Active NPI

Lynn Dineen Bednar, MS, CNS, LDN

  • Nutritionist
  • Evanston, IL
National Provider Identifier
1396339289
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
164.008270 Issued in IL
Practice address
2116 1/2 Central St
Evanston, IL 60201-5810
Phone
(847) 864-1600
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 164.008270 IL Primary

Addresses

Primary practice location

2116 1/2 Central St
Evanston, IL 60201-5810

Mailing address

2116 1/2 Central St
Evanston, IL 60201-5810
Phone (847) 864-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynn@walshnatural.com Direct

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
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
164.008270ILMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1396339289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 1/2 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015810",
            "telephone_number": "847-864-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 1/2 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015810",
            "telephone_number": "847-864-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "LYNN",
        "middle_name": "DINEEN",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynn@walshnatural.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2116 1/2 Central St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602015810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.