Individual provider Active NPI

Lynn M Laboranti, MS, RDN

  • Registered Dietitian
  • Mifflinburg, PA
National Provider Identifier
1598501611
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001901 Issued in PA
Practice address
137 Forest Hill Rd
Mifflinburg, PA 17844-7066
Phone
(570) 966-1004
Fax
(570) 966-3736
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN001901 PA Primary
Registered Dietitian 133V00000X 831484 PA

Addresses

Primary practice location

137 Forest Hill Rd
Mifflinburg, PA 17844-7066

Mailing address

606 Hideaway Dr
Moscow, PA 18444-5102
Phone (570) 499-7838

Other practice location 1

606 Hideaway Dr
Moscow, PA 18444-5102
Phone (570) 499-7838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327004077 PA Practitioner - Registered Dietitian Or Nutrition Professional 2466937321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

137 Forest Hill Rd
Mifflinburg, PA 17844-7004
Phone (570) 966-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
831484PAMDRegistered Dietitian
DN001901PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1598501611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HIDEAWAY DR",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184445102",
            "telephone_number": "570-499-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 FOREST HILL RD",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447066",
            "telephone_number": "570-966-1004",
            "fax_number": "570-966-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Hideaway Dr",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "PA",
            "postal_code": "184445102",
            "country_code": "US",
            "telephone_number": "570-499-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABORANTI",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001901",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "831484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflinburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.