Active NPI
Jennifer Dawn Lyons, MS, RDN, LD
- Registered Dietitian
- Beachwood, OH
National Provider Identifier
1750048161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 09567
- Practice address
- 26700 Alsace CT Apt 307
Beachwood, OH 44122-7577 - Phone
- (740) 331-0655
- NPI assigned
- Nov 19, 2021
- 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 | 09567 | OH | Primary |
Addresses
Primary practice location
26700 Alsace CT Apt 307
Beachwood, OH 44122-7577
Mailing address
26700 Alsace CT Apt 307
Beachwood, OH 44122-7577
Phone (740) 331-0655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jenlyons511@gmail.com |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09567 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1750048161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26700 ALSACE CT APT 307",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441227577",
"telephone_number": "740-331-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26700 ALSACE CT APT 307",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441227577",
"telephone_number": "740-331-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "09567",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jenlyons511@gmail.com",
"affiliation": "N",
"address_1": "26700 Alsace Ct Apt 307",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441227577",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.