Active NPI
Lynne Marie McPhee, RD, CDE, CDN
- Registered Dietitian
- Willimantic, CT
National Provider Identifier
1629196670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000572
- Practice address
- 112 Mansfield Ave
Nutrition Services Dept
Willimantic, CT 06226-2041 - Phone
- (860) 456-6863
- Fax
- (860) 456-6966
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 000572 | CT | Primary |
Addresses
Primary practice location
112 Mansfield Ave
Nutrition Services Dept
Willimantic, CT 06226-2041
Mailing address
112 Mansfield Ave
Nutrition Services Dept
Willimantic, CT 06226-2041
Phone (860) 456-6863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000572 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629196670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MANSFIELD AVE",
"address_2": "NUTRITION SERVICES DEPT",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262041",
"telephone_number": "860-456-6863",
"fax_number": "860-456-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MANSFIELD AVE",
"address_2": "NUTRITION SERVICES DEPT",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262041",
"telephone_number": "860-456-6863",
"fax_number": "860-456-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHEE",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "RD, CDE, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.