Individual provider Active NPI

Ann S Lubeckyj, MS RD

  • Renal Nutrition Registered Dietitian
  • Cass City, MI
National Provider Identifier
1841457330
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Practice address
6757 Main Street
Thumb Area Dialysis
Cass City, MI 48726
Phone
(989) 872-5544
Fax
(989) 872-5692
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X NU Primary

Addresses

Primary practice location

6757 Main Street
Thumb Area Dialysis
Cass City, MI 48726

Mailing address

PO Box 188
Alma, MI 48801-0188

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1841457330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488010188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 MAIN STREET",
            "address_2": "THUMB AREA DIALYSIS",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "48726",
            "telephone_number": "989-872-5544",
            "fax_number": "989-872-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBECKYJ",
        "first_name": "ANN",
        "middle_name": "S",
        "credential": "MS  RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.