Individual provider Active NPI

Lynda Michelle Hart, R.D.

  • Registered Dietitian
  • Buffalo, NY
National Provider Identifier
1750637674
Registry record updated Jul 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007535-1 Issued in NY
Practice address
1546 Delaware Ave # 1
Apt #1
Buffalo, NY 14209-1010
Phone
(248) 935-7009
NPI assigned
Jul 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 007535-1 NY Primary

Addresses

Primary practice location

1546 Delaware Ave # 1
Apt #1
Buffalo, NY 14209-1010

Mailing address

1546 Delaware Ave
Apt #1
Buffalo, NY 14209-1010
Phone (248) 935-7009

Other names 1

  • Lynda Michelle Daisley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331000961 NY Practitioner - Registered Dietitian Or Nutrition Professional 1456678564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personalized Health Nutrition PLLCGroup PAC ID 4183921687, 2 clinicians

Practice addresses (Care Compare)

6000 N Bailey Ave
Suite 1D
Buffalo, NY 14226-5138
Phone (716) 710-7022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007535-1NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southgate Medical Group,LLP CurrentSince Jan 1, 2015 Accepting new patients
Personalized Health Nutrition, PLLC Dietitian, Registered CurrentSince Mar 1, 2015 Accepting new patients

Locations

6000 N Bailey Ave
Ste 1D
Buffalo, NY 14226
Phone (716) 834-4266

3671 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-2595

3675 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 972-0279

3671 Southwestern Blvd
Ste 101
Orchard Park, NY 14127
Phone (716) 662-7008

300 International Dr
Ste 125
Williamsville, NY 14221
Phone (716) 572-4909

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1750637674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 DELAWARE AVE",
            "address_2": "APT #1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091010",
            "telephone_number": "248-935-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 DELAWARE AVE # 1",
            "address_2": "APT #1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091010",
            "telephone_number": "248-935-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "LYNDA",
        "middle_name": "MICHELLE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "DAISLEY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.