Active NPI
Lydia McRoberts, MS, RDN, LD
- Registered Dietitian
- Attica, IN
National Provider Identifier
1528814993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37003385A
- Practice address
- 2587 E 1400 N
Attica, IN 47918-8229 - Phone
- (765) 267-3843
- Fax
- (866) 609-4585
- NPI assigned
- Apr 26, 2024
- Last updated
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37003385A | IN | Primary |
Addresses
Primary practice location
2587 E 1400 N
Attica, IN 47918-8229
Mailing address
2587 E 1400 N
Attica, IN 47918-8229
Phone (765) 267-3843
Other names 1
- Lydia Lecy
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37003385A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utopia Wellcare LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utopia WellCare
- Registered Dietitian
- Media, PA
- NPI 1992388052
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1528814993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2587 E 1400 N",
"city": "ATTICA",
"state": "IN",
"postal_code": "479188229",
"telephone_number": "765-267-3843",
"fax_number": "866-609-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 E 1400 N",
"city": "ATTICA",
"state": "IN",
"postal_code": "479188229",
"telephone_number": "765-267-3843",
"fax_number": "866-609-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCROBERTS",
"first_name": "LYDIA",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37003385A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "LECY",
"credential": "MS, RDN, LD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Attica, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.