Lynn Spalding Gerontological Nutrition Specialist

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

538653 Issued in MI

Legal business name

LYNN SPALDING GERONTOLOGICAL NUTRITION SPECIALIST

Practice address

12516 Hiddenvale CT
Perry, MI 48872-9153

Phone

(517) 290-4816

Fax

(734) 207-5326

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Lynn Spalding, RD, CSG

Title

Owner

Phone

(517) 290-4816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1649696568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871206",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876206",
            "telephone_number": "517-290-4816",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12516 HIDDENVALE CT",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488729153",
            "telephone_number": "517-290-4816",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN SPALDING GERONTOLOGICAL NUTRITION SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-290-4816",
        "authorized_official_credential": "RD, CSG"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "538653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Perry, MI
• Providers in Perry, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.