Ellen Anne Lantz, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00515 Issued in IA

Practice address

802 Kenyon Road
Trinity Regional Medical Center Nutritional Services
Fort Dodge, IA 50501

Phone

(712) 358-0038

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

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

Other names 1

• Mrs. Ellen Trey Lantz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1417785551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59364 210TH AVE",
            "city": "POMEROY",
            "state": "IA",
            "postal_code": "505758032",
            "telephone_number": "712-358-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KENYON ROAD",
            "address_2": "TRINITY REGIONAL MEDICAL CENTER NUTRITIONAL SERVICES",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "712-358-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "ELLEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "00515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "LANTZ",
            "middle_name": "TREY",
            "prefix": "MRS.",
            "credential": "RD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyle Ver Steeg MD PC
• Jeff Allan Lachelt, PHARM D
• Debra K Ladd, N.P.
• Alexis Miranda Laing
• Jason Matthew Laird, D.C.
• Andrea Lois Larson, ARNP
• Tonya B Larson, LISW
• Lori Lawman, CADC
• Amber Lawrence
• Michael W Lee, MD

• Registered Dietitian in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.