Lydia Faith Parker, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

5639 W Genesee St
Camillus, NY 13031-1250

Phone

(315) 530-5109

NPI assigned

Jul 12, 2023

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kelly'S Choice, LLC

  • Registered Dietitian
  • Skaneateles, NY
  • NPI 1134741762

  Dietitian, Registered

  Medicare reassignment NPD
• Kelly Springer Dietitian Nutritionist PLLC

  • Registered Dietitian
  • Skaneateles, NY
  • NPI 1205710720

  Dietitian, Registered

  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1518646231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 E MAPLE TER",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081212",
            "telephone_number": "315-530-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311250",
            "telephone_number": "315-530-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LYDIA",
        "middle_name": "FAITH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Pagorek, RPH
• Ana Maria Paniagua, LCSW
• Kelly S. Parisi, CCC/SLP
• Bruce Dale Parker, DDS
• Kimberly Ann Parker
• Michael James Parker, MD
• Philip Daniel Parkes, DDS
• Pediatric Associates LLP
• Michael Joseph Perrone, RPH
• Dina Naomi Pettiford, M.S., CCC-A

• Registered Dietitian in Camillus, NY
• Providers in Camillus, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.