Lynette Broom, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86079131 Issued in CA

Practice address

201 E Center St Ste 112
PMB 3375
Anaheim, CA 92805-6762

Phone

(951) 323-6149

NPI assigned

Apr 25, 2017

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1518492867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CENTER ST STE 112",
            "address_2": "PMB 3375",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056762",
            "telephone_number": "951-323-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CENTER ST STE 112",
            "address_2": "PMB 3375",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056762",
            "telephone_number": "951-323-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOM",
        "first_name": "LYNETTE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86079131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine Brooks
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• Marra Brophy
• Teresa Broughton
• Donald Browder
• Melanie Lynne Brower

• Registered Dietitian in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.