Active NPI
Lynette Marie Regan, RD, CDN
- Registered Dietitian
- Niagara Falls, NY
National Provider Identifier
1821113283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 915468
- Practice address
- 621 10TH St
Niagara Falls, NY 14301-1813 - Phone
- (716) 278-4363
- Fax
- (716) 278-4266
- NPI assigned
- Mar 21, 2007
- 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 | 915468 | NY | Primary |
Addresses
Primary practice location
621 10TH St
Niagara Falls, NY 14301-1813
Mailing address
432 Berryman Dr
Snyder, NY 14226-4640
Phone (716) 834-1221
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 915468 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821113283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 BERRYMAN DR",
"city": "SNYDER",
"state": "NY",
"postal_code": "142264640",
"telephone_number": "716-834-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4363",
"fax_number": "716-278-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "LYNETTE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "915468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.