Emily Krueger Lybbert, RDN, MS, CSOWM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

9893745-4901 Issued in UT

Practice address

5045 Walden Ridge Dr
Winston Salem, NC 27127-6811

Phone

(910) 723-4559

NPI assigned

Aug 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elybbert834938@direct.novanthealth.org

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.

• Neurosurgical Associates of the

  • Neurological Surgery Physician
  • Winston Salem, NC
  • NPI 1003917725
  NPD

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1730604513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 WALDEN RIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276811",
            "telephone_number": "910-723-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 WALDEN RIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276811",
            "telephone_number": "910-723-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Westgate Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033104",
            "country_code": "US",
            "telephone_number": "336-277-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBBERT",
        "first_name": "EMILY",
        "middle_name": "KRUEGER",
        "credential": "RDN, MS, CSOWM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006221",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "9893745-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elybbert834938@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2810 Maplewood Ave",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271034138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #4756)
• Luxottica of America Inc. (Lenscrafters #065)
• Nathan Robert Luzum, MD
• Nick Minh Ly, DO
• John Gregory Lyall, M.D.
• Sarah League Lycan, CRNP
• Thomas William Lycan Jr., D.O.
• Brittany Lyda, PHARMD
• Brittany Autumn Lyda
• Victoria Jane Lydon, MSW, LCSW

• Registered Dietitian in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.