Lynne M Garris, DIETICIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN000503 Issued in PA

Practice address

500 Plaza CT
Ste D
East Stroudsburg, PA 18301-8262

Phone

(570) 426-2330

Fax

(570) 426-2331

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynne Dolan Garris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1730528423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827658",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827658",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CT",
            "address_2": "STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018262",
            "telephone_number": "570-426-2330",
            "fax_number": "570-426-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIS",
        "first_name": "LYNNE",
        "middle_name": "M",
        "credential": "DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "GARRIS",
            "middle_name": "DOLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Rose Galletta
• Scott Rodney Gallup Jr., LAT, ATC
• Kevin James Gamble, MPT
• Anu Gandotra, DPT
• Susheer Gandotra, M.D.
• Megan Gearhart, MS.CCC.SLP
• Kevin T.C. Geffe, D.O.
• Dina Geren Bocko, PAC
• Alanna Gerhardt
• Jamie Getting

• Registered Dietitian in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.