Active NPI
Ashley Marie Lytwyn, MS, RD, LDN
- Registered Dietitian
- Pasadena, CA
National Provider Identifier
1770982142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86002175
- Practice address
- 2789 Madera Dr
Pasadena, CA 91107-1823 - Phone
- (860) 810-4673
- Fax
- (877) 516-4391
- NPI assigned
- Aug 21, 2014
- Last updated
- Jun 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 86002175 | IL | Primary |
Addresses
Primary practice location
2789 Madera Dr
Pasadena, CA 91107-1823
Mailing address
2789 Madera Dr
Pasadena, CA 91107-1823
Phone (860) 810-4673
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 |
|---|---|---|---|
| 86002175 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Unveiled, Inc | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718496000000",
"number": "1770982142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2789 MADERA DR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071823",
"telephone_number": "860-810-4673",
"fax_number": "877-516-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2789 MADERA DR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071823",
"telephone_number": "860-810-4673",
"fax_number": "877-516-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYTWYN",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2024-06-16",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86002175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Chelsea Nicole Lyon
- Richard Scott Lyon, PH.D.
- Carolyn Christine Lyons, PH.D.
- Lysander Jim, M.D. Inc
- Kathleen Ann Lytal, M.D.
- Lyvers & Associates, Psychological Services, Inc.
- Marguery Amelie Lyvers, PH.D.
- LZ Hospice Care Inc
- M a Saunders, a Psychological Corp
- M a Shamie MD Psychiatric Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.