Eat Well for Life, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

EAT WELL FOR LIFE, LLC

Practice address

35 Ragged Edge Rd
Chambersburg, PA 17202-4450

Phone

(717) 372-6687

Fax

(717) 446-0033

NPI assigned

Jan 2, 2015

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Lucas, RD, LDNNPI 1043653884

Title

Owner/Registered Dietitian

Phone

(717) 372-6687

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Jo Lucas, RD, LDN

  • Registered Dietitian
  • Chambersburg, PA
  • NPI 1043653884
  NPD (past) Authorized official

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1568850337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ROLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011444",
            "telephone_number": "717-372-6687",
            "fax_number": "717-446-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RAGGED EDGE RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172024450",
            "telephone_number": "717-372-6687",
            "fax_number": "717-446-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT WELL FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "717-372-6687",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF ORGANIZATION",
            "identifier": "T1434218103",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Katarzyna Dziama, PHARMD, RPH
• Lori O Eakin, MD
• Megan Renee Earley, CRNP
• Michael Early, PA-C
• Easter Seals Central PA
• David M Ebbitt, MD
• Keith Allen Eberly, PTA
• Cherish Divina Eby, PA-C
• Ifeyinwa N Echeazu, MD
• Sarah Elizabeth Eckersley, PA-S

• Community Health Clinic/Center in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Community Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.