Active NPI
Lorraine Ann Kearney, RDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1821517475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86016370
- Practice address
- 244 5TH Ave Ste K254
New York, NY 10001-7604 - Phone
- (917) 770-5124
- NPI assigned
- Sep 14, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86016370 | NY | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 86016370 | NY | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86016370 | NY | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 86016370 | NY | |
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86016370 | NY |
Addresses
Primary practice location
244 5TH Ave Ste K254
New York, NY 10001-7604
Mailing address
244 5TH Ave Ste K254
New York, NY 10001-7604
Phone (917) 770-5124
Other practice location 1
237 Mechanic St
Red Bank, NJ 07701-2345
Phone (917) 770-5124
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982219671 | Other | NY | NUTRITIONIST |
| 1982219671 | Medicaid | NY | |
| 1821517475 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86016370 | NY | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorraine Kearney Nutrition Inc | Nutritionist | Current | Accepting new patients |
Locations
244 5th Ave
Ste K254
New York, NY 10001
Phone (917) 770-5124
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 and National Provider Directory roles.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- New York, NY
- NPI 1982219671
Nutritionist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1821517475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 5TH AVE STE K254",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017604",
"telephone_number": "917-770-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 5TH AVE STE K254",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017604",
"telephone_number": "917-770-5124"
}
],
"practiceLocations": [
{
"address_1": "237 Mechanic St",
"address_purpose": "LOCATION",
"city": "Red Bank",
"state": "NJ",
"postal_code": "077012345",
"country_code": "US",
"telephone_number": "917-770-5124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNEY",
"first_name": "LORRAINE",
"middle_name": "ANN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86016370",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "86016370",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "86016370",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NY",
"license": "86016370",
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "NY",
"license": "86016370",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NUTRITIONIST",
"identifier": "1982219671",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982219671",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821517475",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.