Individual provider Active NPI

Lana M Usilton, C.N.

  • Nutritionist
  • Fruitland, ID
National Provider Identifier
1811255755
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1611 N Whitley Dr
Ste 1a
Fruitland, ID 83619-2177
Phone
(208) 452-4900
NPI assigned
Apr 29, 2012
Last updated
Apr 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

1611 N Whitley Dr
Ste 1a
Fruitland, ID 83619-2177

Mailing address

1611 N Whitley Dr
Ste 1a
Fruitland, ID 83619-2177
Phone (208) 452-4900

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": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1811255755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N WHITLEY DR",
            "address_2": "STE 1A",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192177",
            "telephone_number": "208-452-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N WHITLEY DR",
            "address_2": "STE 1A",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192177",
            "telephone_number": "208-452-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USILTON",
        "first_name": "LANA",
        "middle_name": "M",
        "credential": "C.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; 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.