Individual provider Active NPI

Lucinda K Lysen

  • Registered Dietitian
  • Orland Park, IL
National Provider Identifier
1780504563
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND662 Issued in FL
Practice address
14824 Greenview Rd
Orland Park, IL 60462-1994
Phone
(708) 565-4563
Fax
(708) 565-4563
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 ND662 FL Primary

Addresses

Primary practice location

14824 Greenview Rd
Orland Park, IL 60462-1994

Mailing address

14824 Greenview Rd
Orland Park, IL 60462-1994
Phone (708) 565-4563

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

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1780504563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14824 GREENVIEW RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621994",
            "telephone_number": "708-565-4563",
            "fax_number": "708-565-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14824 GREENVIEW RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621994",
            "telephone_number": "708-565-4563",
            "fax_number": "708-565-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSEN",
        "first_name": "LUCINDA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.