Individual provider Active NPI

Tasha Lane, RDN, LDN

  • Registered Dietitian
  • Carmel, IN
National Provider Identifier
1831945641
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37003849A Issued in IN
Practice address
14801 Market Center Dr Ste 100
Carmel, IN 46033-5518
Phone
(765) 461-0062
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 37003849A IN Primary

Addresses

Primary practice location

14801 Market Center Dr Ste 100
Carmel, IN 46033-5518

Mailing address

13611 S US Route 31
Kokomo, IN 46901-7766
Phone (765) 461-0062

Other practice location 1

13611 S US Route 31
Kokomo, IN 46901-7766
Phone (765) 461-0062

Other practice location 2

13611 S US Route 31
Kokomo, IN 46901-7766
Phone (765) 461-0062

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

LicenseStateTypeSpecialty
37003849AINMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1831945641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 S US ROUTE 31",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469017766",
            "telephone_number": "765-461-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 MARKET CENTER DR STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460335518",
            "telephone_number": "765-461-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13611 S US Route 31",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469017766",
            "country_code": "US",
            "telephone_number": "765-461-0062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13611 S US Route 31",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469017766",
            "country_code": "US",
            "telephone_number": "765-461-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "TASHA",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.