Individual provider Active NPI

Lynn Lanza, MS. RD, CDE

  • Registered Dietitian
  • Chandler, AZ
National Provider Identifier
1902183767
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1023686 Issued in AZ
Practice address
2701 E Insight Way
Chandler, AZ 85286-1930
Phone
(480) 409-6100
Fax
(480) 409-6101
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 21600246 AZ
Registered Dietitian 133V00000X 1023686 AZ Primary

Addresses

Primary practice location

2701 E Insight Way
Chandler, AZ 85286-1930

Mailing address

2701 E Insight Way
Chandler, AZ 85286-1930
Phone (480) 409-6100

Other practice location 1

5980 S Cooper Rd
Suite #1
Chandler, AZ 85249-5394
Phone (618) 593-8625

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

LicenseStateTypeSpecialty
1023686AZMDRegistered Dietitian
21600246AZMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
American Vascular Specialists LLC PastSince Dec 4, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1902183767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E INSIGHT WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861930",
            "telephone_number": "480-409-6100",
            "fax_number": "480-409-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E INSIGHT WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861930",
            "telephone_number": "480-409-6100",
            "fax_number": "480-409-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 S Cooper Rd",
            "address_2": "Suite #1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852495394",
            "country_code": "US",
            "telephone_number": "618-593-8625",
            "fax_number": "800-530-9132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANZA",
        "first_name": "LYNN",
        "credential": "MS. RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AZ",
            "license": "21600246",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1023686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.